Wellformed AI

NPI 1083818330 · live from the CMS NPI Registry

Kristin Blanch Crady, RD, CNSD

Dietitian, Registered in Charleston, SC. National Provider Identifier 1083818330, active.

NPI record

NPI1083818330 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location165 Ashley Ave, Charleston, SC 29425
Practice phone843-792-8933
Mailing address165 Ashley Ave, Po Box 250905, Charleston, SC 29425
EnumeratedJune 12, 2007
Last updatedJuly 8, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.