Doctor Name: | A LYNAE KLINGINSMITH |
NPI Number: | 1164748000 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., LD, C.D. |
License Number: | DI 60629491 |
Business Practice Address: | 717 Ne 61st St Suite 202 Vancouver, WA - 986658753 |
Business Phone Number: | 9713616710 |
Business Fax Number: | 9712282990 |
Mailing Address: | 717 Ne 61st St, Suite 202 VANCOUVER |
State: | WA |
Postal Code: | 986658753 |
Phone Number: | 9713616710 |
Fax Number: | 9712282990 |
NPI Enumeration Date: | 04/16/2010 |
NPI Last Update Date: | 04/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DI 60629491 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |