Individual
KRISTIN BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4819 PERLMAN ST, COLUMBUS, OH 43228-9076
(937) 441-8751
Mailing address
4819 PERLMAN ST, COLUMBUS, OH 43228-9076
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86027994
OH
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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