Individual
MRS. KRISTEN RICKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
86 HILTON BLVD, AMHERST, NY 14226-1415
(716) 704-0684
Mailing address
86 HILTON BLVD, AMHERST, NY 14226-1415
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008246
NY
Other
Enumeration date
06/09/2020
Last updated
10/27/2020
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