NPI 1962040683 · live from the CMS NPI Registry
Kristyn Lenore Bawol, RD
Dietitian, Registered in Albuquerque, NM. National Provider Identifier 1962040683, active.
NPI record
| NPI | 1962040683 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1501 San Pedro Dr Se Rm 1047, Albuquerque, NM 87108 |
| Practice phone | 505-265-1711 |
| Mailing address | 4805 Marquette Ave Ne Apt 303, Albuquerque, NM 87108 |
| Enumerated | December 12, 2019 |
| Last updated | December 12, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.