| Doctor Name: | MRS. CHRISTINE ELLEN DOUGLAS |
| NPI Number: | 1164843504 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, LMNT, LD |
| License Number: | 022 |
| Business Practice Address: | 505 S. Burg Street Kimball Health Services At Kimball, NE - 69145 |
| Business Phone Number: | 3082351966 |
| Business Fax Number: | 3082351957 |
| Mailing Address: | 505 S. Burg Street, Kimball Health Services At KIMBALL |
| State: | NE |
| Postal Code: | 69145 |
| Phone Number: | 3082351966 |
| Fax Number: | 3082351957 |
| NPI Enumeration Date: | 01/03/2014 |
| NPI Last Update Date: | 01/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 022 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| 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 |