Individual
MEGAN A KNISKERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD/N, CEDS-S
Contact information
Practice address
4354 E PALO VERDE DR, PHOENIX, AZ 85018-1128
(480) 316-3081
Mailing address
4354 E PALO VERDE DR, PHOENIX, AZ 85018-1128
(480) 316-3081
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1016383
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016383
RDN NUMBER
AZ
Enumeration date
04/08/2022
Last updated
04/08/2022
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