Individual
KAITLYN RENAE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
3546 STINSON BLVD, MINNEAPOLIS, MN 55418-1519
(320) 630-0466
Mailing address
3546 STINSON BLVD, MINNEAPOLIS, MN 55418-1519
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3740
MN
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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