Fetzner, Kylee Jane
Fetzner, Kylee Jane is an sole proprietor health care provider with primary practice located at 2909 Spangle Rd , Bloomington IL 61705-5985. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Fetzner, Kylee Jane can be contacted via phone (815) 236-8033.Contact Information
Primary practice address
2909 Spangle Rd
Bloomington IL 61705-5985
Phone: (815) 236-8033
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 86167846 | Illinois |
Profile Details
| NPI number | 1619565678 |
|---|---|
| LBN Legal business name | Fetzner, Kylee Jane |
| Credentials | RDN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2021 |
| Last updated | Jan 5th, 2021 - about 5 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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