Fogg, Kristi Lynn

Fogg, Kristi Lynn is an individual health care provider with primary practice located at 165 Ashley Ave Suite Eh110, Charleston SC 29425-8905. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Fogg, Kristi Lynn can be contacted via phone (843) 792-8933.

Contact Information

Primary practice address
165 Ashley Ave Suite Eh110 Charleston SC 29425-8905
Phone: (843) 792-8933
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 608 South Carolina
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LDN00612 Rhode Island

Profile Details

NPI number 1093987125
LBN Legal business name Fogg, Kristi Lynn
Credentials MS, RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2008
Last updated Feb 17th, 2009 - about 17 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 1093987125 NPPES
Rhode Island Other 410007 HOSPITAL MEDICARE ID

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