Individual
ANNA KRISTIN PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
943 SHORT ST, CANON CITY, CO 81212-4256
(719) 426-1899
Mailing address
427 GREENWOOD AVE, CANON CITY, CO 81212-3245
(540) 797-4128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1094814
VA
Other
Enumeration date
01/21/2015
Last updated
02/06/2021
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