Doctor Name: | MRS. AMY MARIE KUNSTLE |
NPI Number: | 1902958747 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, CCC-SLP |
License Number: | |
Business Practice Address: | 421 N Main St Ste 402 Pueblo, CO - 810033196 |
Business Phone Number: | 7196710820 |
Business Fax Number: | 7195436691 |
Mailing Address: | 525 Colorado Ave, PUEBLO |
State: | CO |
Postal Code: | 810042012 |
Phone Number: | 7195443306 |
Fax Number: | 7195436691 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 04/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
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 |