Individual
JESSIE KREMPHOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CDN
Contact information
Practice address
2829 WEHRLE DR STE 7B, WILLIAMSVILLE, NY 14221-7387
(716) 626-7415
Mailing address
4522 HUNTERS CREEK RD, WALES CENTER, NY 14169-9405
(716) 982-9130
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
009425
NY
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009425
NYS CERTIFICATION
NY
Enumeration date
07/19/2018
Last updated
03/31/2026
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