Individual
KRISTEN LYNN FULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD CD
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 646-6722
Mailing address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-6692
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3041-29
WI
Other
Enumeration date
01/17/2018
Last updated
11/22/2023
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