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Individual

KRISTAN STEWART BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
200 PATEWOOD DR STE A140, GREENVILLE, SC 29615-3585
(864) 454-5125
(864) 241-9201
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1224
SC
133VN1004X
Pediatric Nutrition Registered Dietitian
1224
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP1980
SC
Enumeration date
06/11/2015
Last updated
09/30/2025
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