NPI 1376839191 · live from the CMS NPI Registry
Kristi Marie Flicker, LD
Dietitian, Registered in Coeur D Alene, ID. National Provider Identifier 1376839191, active.
NPI record
| NPI | 1376839191 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3320 N Grand Mill Ln, Coeur D Alene, ID 83814 |
| Practice phone | 208-765-9100 |
| Enumerated | June 20, 2011 |
| Last updated | June 20, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-585 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.