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Provider Information for 1043646706



KRISTIN KIRKPATRICK MS, RD

Gender: FEMALE

Individual NPI: 1043646706

Calendar Last Updated: 2013-09-25

Details

Name Value
NPI 1043646706
Enumeration Date 2013-09-25
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1950 RICHMOND RD TR2-234
LYNDHURST, OH 44124-3719
United States

Phone: 216-448-8609 | Fax:
View Map External Link
Primary Practice Address 1950 RICHMOND RD TR2-234
LYNDHURST, OH 44124-3719
United States

Phone: 216-448-8609 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 133V00000X - Dietitian, Registered OH 951265