Kvist, Kristi Carol

Kvist, Kristi Carol is an individual health care provider with primary practice located at 2960 Tongass Ave , Ketchikan AK 99901-5742. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Kvist, Kristi Carol can be contacted via phone (907) 228-4900.

Contact Information

Primary practice address
2960 Tongass Ave Ketchikan AK 99901-5742
Fax: (800) 852-3264
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2211-029 Wisconsin

Profile Details

NPI number 1558695627
LBN Legal business name Kvist, Kristi Carol
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2009
Last updated May 4th, 2017 - about 9 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 1558695627 NPPES
Alaska MEDICAID 1633783

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