Individual
KIRSTIN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
638 OKOMA DR, OMAK, WA 98841-9525
(509) 826-1550
(509) 826-1525
Mailing address
PO BOX 3054, OMAK, WA 98841-3054
(509) 826-1550
(509) 826-1525
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175417
—
AZ
Enumeration date
03/13/2015
Last updated
05/29/2024
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