Individual
KRISTINE M SULLIVAN-PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
76 N IRVINGTON AVE, INDIANAPOLIS, IN 46219-5702
(317) 690-9985
Mailing address
76 N IRVINGTON AVE, INDIANAPOLIS, IN 46219-5702
(317) 690-9985
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002418A
IN
Other
Enumeration date
03/13/2017
Last updated
09/05/2025
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