Individual
KRISTINA MARIE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, IBCLC, RLC
Contact information
Practice address
6401 POPLAR AVE STE 610, MEMPHIS, TN 38119-4806
(901) 761-1280
(901) 761-9347
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2219
TN
Other
Enumeration date
09/28/2021
Last updated
10/11/2021
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