Carlson, Kennette Marie

Carlson, Kennette Marie is an individual health care provider with primary practice located at 3495 Bailey Ave Mail Code 528/120, Buffalo NY 14215-1129. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Carlson, Kennette Marie can be contacted via phone (716) 834-9200.

Contact Information

Primary practice address
3495 Bailey Ave Mail Code 528/120 Buffalo NY 14215-1129
Phone: (716) 834-9200
Fax: (716) 862-6374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1154349363
LBN Legal business name Carlson, Kennette Marie
Credentials MBA, RD, CDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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