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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KAITLIN DETTRA, RD, LDN

Active Sole Proprietor

KAITLIN DETTRA, RD, LDN is a Registered Dietitian healthcare provider located in SOUTHAMPTON, Pennsylvania. NPI 1609437789 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · SOUTHAMPTON, PA

Registration Details

NPI Number
1609437789
Provider Type
Individual
Gender
Female
NPI Issued
Jun 27, 2019 (7.0876739459789 yrs)
Last Updated
Jun 27, 2019
License
DN005331 (PA)
Sole Proprietor
Yes

Practice Information

Address
283 SECOND STREET PIKE STE 145
SOUTHAMPTON, PA, 189663869
Browse PA providers · Browse ZIP 18966
Phone
2153222213
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in SOUTHAMPTON, PA

Name Credential NPI
MRS. RUTH ANN JAFFE R.D. 1114312733
ELENA BRODSKY RD, LDN 1851876379
RACHEL MARIAH SHIFFLET RD 1205434941
MRS. DOMINIQUE SHOWMAKER JOHNSTON RD LDN 1184324386
CARYN L ALTOMARI RD 1437038338
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.