Individual
KRISTEN L CHITWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
201 PENNSYLVANIA PKWY STE 310, CARMEL, IN 46280-1393
(317) 944-3500
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37003382A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430D05
MEDICARE PTAN
IN
01
—
Q00178016
RAILROAD PTAN
IN
Enumeration date
09/03/2021
Last updated
03/26/2024
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