| Doctor Name: | MRS. KRISTINE FLYNN |
| NPI Number: | 1437375938 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPH, CHES |
| License Number: | |
| Business Practice Address: | 19 Scarlet Maple Dr Ladera Ranch, CA - 926940838 |
| Business Phone Number: | 3107096228 |
| Business Fax Number: | 3109794667 |
| Mailing Address: | 19 Scarlet Maple Dr, LADERA RANCH |
| State: | CA |
| Postal Code: | 926940838 |
| Phone Number: | 3107096228 |
| Fax Number: | 3109794667 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |