NPI 1104281450 · live from the CMS NPI Registry
Kristin Dillon, RD
Dietitian, Registered in Portsmouth, RI. National Provider Identifier 1104281450, active.
NPI record
| NPI | 1104281450 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2444 E Main Rd, Portsmouth, RI 02871 |
| Practice phone | 860-885-8494 |
| Mailing address | Po Box 14, Voluntown, CT 06384 |
| Enumerated | December 30, 2015 |
| Last updated | December 30, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LDN00841 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.