NPI 1245878032 · live from the CMS NPI Registry
Samantha Kay Kratovil, RD
Dietitian, Registered in Watertown, SD. National Provider Identifier 1245878032, active.
NPI record
| NPI | 1245878032 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4 19th St Ne, Watertown, SD 57201 |
| Practice phone | 605-884-2420 |
| Mailing address | 20070 471st Ave, Brookings, SD 57006 |
| Enumerated | December 12, 2019 |
| Last updated | December 12, 2019 |
| Sole proprietor | No |
| Other names | Samantha Swedlund |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 0692 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.