Individual
KRISTY LEE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1900 E MAIN ST, 550-120, DANVILLE, IL 61832-5100
(217) 554-5135
Mailing address
1900 E MAIN ST, 550-120, DANVILLE, IL 61832-5100
(217) 554-5135
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004846
IL
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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