NPI 1023235835

Patricia Logan McKibben, RDCD

Practitioner Registered Dietitian Burlington, VT

Practice location

Address: 111 Colchester Ave, Burlington, VT 05401-1473
Phone: (802) 847-3640
Mailing address: 150 Deacons Way, Waterbury Center, VT 05677-8111

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 0740000157 (VT)

Other Dietitian, Registered providers in Vermont →

Registry record

NPI: 1023235835
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.