Lewis, Kristin

Lewis, Kristin is an individual health care provider with primary practice located at 8508 N Prairie Vw , Prescott Valley AZ 86315-9089. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Renal. Dietary & Nutritional Service Providers / Nutrition, Renal is her primary health care specialty. Lewis, Kristin can be contacted via phone (928) 772-8652.

Contact Information

Primary practice address
8508 N Prairie Vw Prescott Valley AZ 86315-9089
Phone: (928) 772-8652
Fax: (928) 772-8078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 920049 Arizona
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 920049 Arizona

Profile Details

NPI number 1447574173
LBN Legal business name Lewis, Kristin
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2010
Last updated Nov 13th, 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 1447574173 NPPES
Arizona MEDICAID 507248

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