MS. Kathleen Mary Ruth Johnson, RD, LDN

NPI #1992930069 in Worcester, Massachusetts

Provider Information

NPI Number: 1992930069
Entity Type: Individual
Name: MS. Kathleen Mary Ruth Johnson, RD, LDN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD, LDN
Enumeration Date: May 19, 2009
Last Updated: May 19, 2009

Practice Location

Address: 55 LAKE AVE N
City: Worcester
State: Massachusetts
ZIP Code: 01655-0002
Phone: (774) 443-3887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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