Petrosky, Kathryn Bernard

Petrosky, Kathryn Bernard is an sole proprietor health care provider with primary practice located at 1225 Warm Springs Ave , Huntingdon PA 16652-2350. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Petrosky, Kathryn Bernard can be contacted via phone (814) 643-2290.

Contact Information

Primary practice address
1225 Warm Springs Ave Huntingdon PA 16652-2350
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN004364 Pennsylvania

Profile Details

NPI number 1144533837
LBN Legal business name Petrosky, Kathryn Bernard
Credentials MS, RD, LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2010
Last updated Nov 30th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144533837 NPPES
Pennsylvania MEDICAID 102497058 0001

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