Individual
MRS. KIRSTEN AMBER STOUTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(203) 760-0454
Mailing address
1203 TRINITY ST NW, ALEXANDRIA, MN 56308-5056
(320) 760-0454
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01000951
TX
Other
Enumeration date
11/11/2009
Last updated
11/07/2023
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