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Individual

KRISTINE BAHR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MNT

Contact information

Practice address
320 WASHINGTON ST. SUITE 401, BROOKLINE, MA 02445
(413) 528-9838
Mailing address
320 WASHINGTON ST. SUITE 401, BROOKLINE, MA 02445
(617) 360-1929
(413) 332-0719

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
1707
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2804002
AETNA
MA
01
29366
HEALTH NEW ENGLAND
MA
01
39481
HARVARD PILGRIM
MA
01
468764
TUFTS
MA
01
LD0088
BLUE SHIELD MASSACHUSETTS
MA
Enumeration date
08/08/2006
Last updated
07/21/2022
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