Individual
KYNDAL LYN HETTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSP, CD
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-5938
Mailing address
1626 N PROSPECT AVE APT 706, MILWAUKEE, WI 53202-2421
(414) 688-6339
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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