Individual
KRYSTLE LEE HERGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2001 5TH STREET, SILVIS, IL 61282
(309) 792-1507
(309) 792-1518
Mailing address
2001 5TH STREET, SILVIS, IL 61282
(309) 792-1507
(309) 792-1518
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
002045
IA
133V00000X
Registered Dietitian
Primary
164006134
IL
Other
Enumeration date
06/18/2015
Last updated
10/13/2015
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