Doctor Name: | KRISTYN LYNN |
NPI Number: | 1912326315 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,RD, LDN |
License Number: | 164.005520 |
Business Practice Address: | 355 Ridge Ave Evanston, IL - 602023328 |
Business Phone Number: | 8473162235 |
Business Fax Number: | 8473162491 |
Mailing Address: | 1102 Jeannette St, DES PLAINES |
State: | IL |
Postal Code: | 600166314 |
Phone Number: | 2245220375 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2014 |
NPI Last Update Date: | 04/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164.005520 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |