Individual
MS. KRISTINE BENUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
18601 LINCOLN ST, WHITEHALL, WI 54773-8605
(715) 538-4361
Mailing address
18601 LINCOLN ST, WHITEHALL, WI 54773-8605
(715) 538-4361
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
809073
WI
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
WPS/MEDICARE PART B
WI
01
—
P47127
UPIN
WI
Enumeration date
05/27/2010
Last updated
06/16/2018
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