| Doctor Name: | KRISTINE ANN VAN WORKUM |
| NPI Number: | 1689780181 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, LDN |
| License Number: | ND 5470 |
| Business Practice Address: | 107 N Palm Ave Indialantic, FL - 329033131 |
| Business Phone Number: | 3213277948 |
| Business Fax Number: | 3213277914 |
| Mailing Address: | 514 Veracruz Blvd, INDIALANTIC |
| State: | FL |
| Postal Code: | 329034728 |
| Phone Number: | 4432533170 |
| Fax Number: | 3213277914 |
| NPI Enumeration Date: | 08/21/2006 |
| NPI Last Update Date: | 02/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | ND 5470 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |