Individual
KRISTA KOHLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.D.
Contact information
Practice address
2501 W BELTLINE HWY, SUITE NUMBER 207, MADISON, WI 53713-2318
(608) 417-6102
Mailing address
5795 WINDSONA CIR, FITCHBURG, WI 53711-5839
(608) 417-7128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2108-029
WI
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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