Organization
KMM NUTRITION CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN MATHESON RDN, CDE (REGISTERED DIETITIAN NUTRITIONIST)
(719) 964-1429
Entity
Organization
Contact information
Practice address
9320 GRAND CORDERA PKWY STE 100, COLORADO SPRINGS, CO 80924-7004
(719) 344-2780
Mailing address
6950 OAK VALLEY LN, COLORADO SPRINGS, CO 80919-1513
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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