Doctor Name: | KRYSTLE LEE HERGERT |
NPI Number: | 1710369400 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | 002045 |
Business Practice Address: | 2001 5th Street Silvis, IL - 61282 |
Business Phone Number: | 3097921507 |
Business Fax Number: | 3097921518 |
Mailing Address: | 2001 5th Street, SILVIS |
State: | IL |
Postal Code: | 61282 |
Phone Number: | 3097921507 |
Fax Number: | 3097921518 |
NPI Enumeration Date: | 06/18/2015 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 002045 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
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 |