NPI 1598028862 · live from the CMS NPI Registry
Jason Matthew Kingsbury, R.D. L.N.
Dietitian, Registered in Rapid City, SD. National Provider Identifier 1598028862, active.
NPI record
| NPI | 1598028862 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 353 Fairmont Blvd, Rapid City, SD 57701 |
| Practice phone | 605-719-8251 |
| Mailing address | 3604 Squire Ln, Rapid City, SD 57702 |
| Enumerated | June 20, 2012 |
| Last updated | June 20, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 0377 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.