Avera, Kristen

Avera, Kristen is an individual health care provider with primary practice located at 181 Armour Dr Ne , Atlanta GA 30324-3916. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Avera, Kristen can be contacted via phone (404) 981-6533.

Contact Information

Primary practice address
181 Armour Dr Ne Atlanta GA 30324-3916
Phone: (404) 981-6533
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD005269 Georgia

Profile Details

NPI number 1093313090
LBN Legal business name Avera, Kristen
Credentials RD, LD, CDCES
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2020
Last updated Oct 12th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093313090 NPPES
Other 86032146 COMMISSION ON DIETETIC REGISTRATION
Other LD005269 COMMISSION ON DIETETIC REGISTRATION
Other 22200347 COMMISSION ON DIETETIC REGISTRATION

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