Individual
KRISTEN BEVILACQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
9415 E HARRY ST STE 407, WICHITA, KS 67207-5083
(316) 252-1154
Mailing address
9714 W MAXWELL ST, WICHITA, KS 67215-1550
(316) 644-7152
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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