NPI 1265563829 · live from the CMS NPI Registry
Kelsey Kristyne Brandenburg, RD
Dietitian, Registered in Maplewood, MN. National Provider Identifier 1265563829, active.
NPI record
| NPI | 1265563829 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1575 Beam Ave, Maplewood, MN 55109 |
| Practice phone | 651-232-7000 |
| Enumerated | March 8, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2632 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.