Lynn M Kitslaar in Green Bay - Dietitian, Registered

Lynn M Kitslaar - NPI 1255316717

Lynn M Kitslaar is a Dietitian, Registered in Green Bay, Wisconsin. Lynn M Kitslaar practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Lynn M Kitslaar is 1255316717. The last update date is 2019-08-21.

Lynn M Kitslaar's current location address is Po Box 22487, Green Bay, Wisconsin. You can contact this provider via phone number 9204457222 and fax number 9204457289. The mailing address for Lynn M Kitslaar is Po Box 22487, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Lynn M Kitslaar
Address Po Box 22487, Green Bay, Wisconsin
Phone Number 9204457222
Fax Number 9204457289
Sole Proprietor N
Credentials RD

NPI Number Detail

NPI Number 1255316717
Provider Enumeration Date 2005-12-07
Last Updated Date 2019-08-21

Provider Mailing Address Detail

Address Po Box 22487
City Green Bay
State Wisconsin (WI)
Post Code 543052487
Phone Number 9204457222
Fax Number 9204457289

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 1399-29
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20110340 WI NATIONAL CERTIFICATION BOARD F
850912 WI COMMISSION ON DIETETIC REGISTR

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FAQs about Lynn M Kitslaar

What is the unique 10-digit identification code assigned to Lynn M Kitslaar by the Centers for Medicare & Medicaid Services?

The Lynn M Kitslaar has been issued the NPI (National Provider Identifier) 1255316717, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Lynn M Kitslaar is physically located?

The Lynn M Kitslaar is situated at the following address: Po Box 22487, Green Bay, WI 543052487.

What is the Lynn M Kitslaar's area of specialization and corresponding taxonomy classification?

The Lynn M Kitslaar's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.

When did the Lynn M Kitslaar receive its 1255316717?

The Lynn M Kitslaar was issued its 1255316717 on 2005-12-07, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Lynn M Kitslaar most recently updated or revised?

The details related to Lynn M Kitslaar, including its address, specialty, and other relevant information, were last updated or revised on 2019-08-21.

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