Individual
KRISTEN NICKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.N., L.D.
Contact information
Practice address
1330 E CHERRY ST STE 210, SPRINGFIELD, MO 65802-3638
(417) 766-0663
Mailing address
1330 E CHERRY ST STE 106, SPRINGFIELD, MO 65802-3573
(417) 766-0663
(417) 765-0526
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2015020186
MO
Other
Enumeration date
12/15/2015
Last updated
02/27/2019
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