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Individual

MRS. KRYSTEN NYKOLE CRADDOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
982 E COLUMBIA AVE, COLVILLE, WA 99114-3316
(509) 685-5100
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-0001
(866) 747-2455

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1018437
WA
133V00000X
Registered Dietitian
Primary
DI60246459
WA

Other

Enumeration date
11/07/2018
Last updated
05/20/2026
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