Individual
KRISTA HEUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 794-5283
Mailing address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 794-5283
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
076140
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076140
STATE LICENSE
IA
Enumeration date
05/12/2017
Last updated
05/12/2017
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