MS. Kathy Anne Mattingly, RD, LDN

NPI #1245247022 in Grayslake, Illinois

Provider Information

NPI Number: 1245247022
Entity Type: Individual
Name: MS. Kathy Anne Mattingly, RD, LDN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD, LDN
Enumeration Date: Aug 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 234 HIGHLAND RD
City: Grayslake
State: Illinois
ZIP Code: 60030-1227
Phone: (847) 650-8139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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