Doctor Name: | OLIVIA KIRVEN |
NPI Number: | 1215338975 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D. |
License Number: | 150 |
Business Practice Address: | 37 S Main St Sheridan, WY - 828014221 |
Business Phone Number: | 3077514264 |
Business Fax Number: | |
Mailing Address: | 3482 Hwy 87, SHERIDAN |
State: | WY |
Postal Code: | 828019558 |
Phone Number: | 3077514264 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2014 |
NPI Last Update Date: | 09/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 150 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |