Individual
MS. KALIE RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
14641 43RD ST NW, WILLISTON, ND 58801-8644
(701) 770-2228
Mailing address
14641 43RD ST NW, WILLISTON, ND 58801-8644
(701) 770-2228
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
887
ND
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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