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Organization

PROACTIVE NUTRITION CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIERSTON MURPHY RD, CSCS (OWNER/REGISTERED DIETITIAN)
(307) 331-4206
Entity
Organization

Contact information

Practice address
2200 LOGAN AVE STE A, CHEYENNE, WY 82001-4101
(307) 256-9693
(307) 288-3242
Mailing address
2200 LOGAN AVE STE A, CHEYENNE, WY 82001-4101
(307) 256-9693
(307) 288-3242

Taxonomy

Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary

Other

Enumeration date
04/02/2024
Last updated
09/29/2025
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