Doctor Name: | KILANI M KLETTE |
NPI Number: | 1619317476 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.N. |
License Number: | MED-NUTR-LIC-19741 |
Business Practice Address: | 805 Sunset Blvd Conrad, MT - 594251717 |
Business Phone Number: | 4062712284 |
Business Fax Number: | |
Mailing Address: | 16 N Kansas St, CONRAD |
State: | MT |
Postal Code: | 594251711 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/26/2013 |
NPI Last Update Date: | 06/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | MED-NUTR-LIC-19741 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
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 |