Individual
KRISTIN L FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
254 CLARKSON RD, ELLISVILLE, MO 63011-2245
(636) 227-7337
Mailing address
402 S CLEVELAND ST, PHILO, IL 61864-9772
(636) 227-7337
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004728
IL
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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