Individual
KRISTI CAROL KVIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742
(907) 228-4900
(800) 852-3264
Mailing address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742
(907) 228-4900
(800) 852-3264
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2211-029
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1633783
—
AK
Enumeration date
09/23/2009
Last updated
05/04/2017
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