Doctor Name: | KRISTIN N.M. EWING |
NPI Number: | 1669420709 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDLD |
License Number: | 2390 |
Business Practice Address: | 1200 Sixth Ave N Centracare Clinic St Cloud, MN - 563032735 |
Business Phone Number: | 3202525131 |
Business Fax Number: | |
Mailing Address: | 1200 Sixth Ave N, Centracare Clinic ST CLOUD |
State: | MN |
Postal Code: | 563032735 |
Phone Number: | 3202525131 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 07/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |