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NPI 1881248698 · live from the CMS NPI Registry

Janae Kinikin, RDN

Dietitian, Registered in Douglas, WY. National Provider Identifier 1881248698, active.

NPI record

NPI1881248698 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location111 S 5th St, Douglas, WY 82633
Practice phone307-358-2122
Mailing address539 N Wind River Dr, Douglas, WY 82633
EnumeratedJuly 30, 2019
Last updatedJune 17, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Health & Wellness Coach171400000X—
Dietitian, Registered primary133V00000X86101171
Health Educator174H00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.