Individual
KAITLYN HAVENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
333 W DRAKE RD STE 131, FORT COLLINS, CO 80526-6319
(708) 717-7394
Mailing address
2557 LIMON DR UNIT 4, FORT COLLINS, CO 80525-7667
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86359653
CO
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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