Individual
KRISTIN ANN JOHNIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 415-7998
Mailing address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 415-7998
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
37001368A
IN
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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