Individual
MS. KRISTIN AMY CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4921 PARKVIEW PL, DIV IM GASTROENTEROLOGY, STE 12B, SAINT LOUIS, MO 63110-1032
(314) 747-2066
(314) 747-7111
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 747-2066
(314) 747-7111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2008029877
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350077348
—
MO
Enumeration date
06/14/2019
Last updated
04/17/2025
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