Individual
MRS. KYLIE JANE VIENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
(907) 631-7612
Mailing address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
(907) 631-7464
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
114934
AK
Other
Enumeration date
03/27/2017
Last updated
08/18/2020
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