NPI 1629225115 · live from the CMS NPI Registry
Kirsten Bennett, RD
Dietitian, Registered in Albuquerque, NM. National Provider Identifier 1629225115, active.
NPI record
| NPI | 1629225115 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2211 Lomas Blvd Ne, Albuquerque, NM 87106 |
| Practice phone | 505-272-8950 |
| Mailing address | 1650 University Blvd Ne, Suite 116, Albuquerque, NM 87102 |
| Enumerated | August 26, 2008 |
| Last updated | August 26, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 029 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.