# KMM NUTRITION CONSULTING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760997274
- **Authorized official:** KIRSTEN MATHESON RDN, CDE (REGISTERED DIETITIAN NUTRITIONIST)
- **Authorized official phone:** (719) 964-1429

## Contact information

- **Practice address:** 9320 GRAND CORDERA PKWY STE 100, COLORADO SPRINGS, CO 80924-7004
- **Practice address phone:** (719) 344-2780
- **Mailing address:** 6950 OAK VALLEY LN, COLORADO SPRINGS, CO 80919-1513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/06/2017
- **Last updated:** 12/06/2017