Kathryn Clarkson, RD
Dietitian, Registered in Syracuse, NY. Individual provider (NPI-1).
NPI number1104780840
StatusActive
Last updated in NPPESDec 15, 2025
Details
- NPI
- 1104780840
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kathryn Clarkson
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2025
- Certification date
- Dec 15, 2025
- Last updated
- Dec 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86360502 | NY | Yes |
Practice location
800 Irving AveSyracuse, NY 13210-2796
Phone 301-395-8774
Mailing address
22193 Riverbend Dr EWatertown, NY 13601-1779
Phone 301-395-8774
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