NPI 1275298366 · live from the CMS NPI Registry
Michelle Kudrna, RD
Dietitian, Registered in Bismarck, ND. National Provider Identifier 1275298366, active.
NPI record
| NPI | 1275298366 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 765 W Interstate Ave, Bismarck, ND 58503 |
| Practice phone | 701-323-5437 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | November 3, 2021 |
| Last updated | January 24, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1191 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.