Individual
KRISTIN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
8508 N PRAIRIE VW, PRESCOTT VALLEY, AZ 86315-9089
(928) 772-8652
(928) 772-8078
Mailing address
PO BOX 10214, PRESCOTT, AZ 86304-0214
(928) 772-8652
(928) 772-8078
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
920049
AZ
133VN1005X
Renal Nutrition Registered Dietitian
Primary
920049
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507248
—
AZ
Enumeration date
03/24/2010
Last updated
11/13/2020
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