Individual
KIRSTEN BOHNENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
17 TICKNOR ST APT 3, BOSTON, MA 02127-4290
(703) 599-3379
Mailing address
17 TICKNOR ST APT 3, BOSTON, MA 02127-4290
(703) 599-3379
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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