NPI 1609649037 · live from the CMS NPI Registry
Kyrsten Austin, MS, RD
Dietitian, Registered in Traverse City, MI. National Provider Identifier 1609649037, active.
NPI record
| NPI | 1609649037 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1105 6th St, Traverse City, MI 49684 |
| Practice phone | 231-935-5000 |
| Mailing address | 345 S West Silver Lake Rd, Traverse City, MI 49685 |
| Enumerated | November 7, 2023 |
| Last updated | November 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 86119795 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.