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Individual

ILZE KISELIS

Active
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Individual

ILZE KISELIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSRD LDN

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
632
MA
133V00000X
Registered Dietitian
632
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042472266
PRIVATE HEALTHCARE SYSTEM
01
67853
FALLON COMMUNITY HEALTH P
01
7001600
AETNA US HEALTHCARE
01
AA16844
HARVARD PILGRIM HEALTHCAR
01
LD0139
BLUE CROSS
Enumeration date
09/20/2006
Last updated
09/26/2018
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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