Individual
KRISTEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
395 W COUGAR BLVD STE 203, PROVO, UT 84604-3328
(801) 357-7706
Mailing address
954 N SILVER WOLF RD, ELK RIDGE, UT 84651-4582
(801) 616-9213
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5911399-4901
UT
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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