| Doctor Name: | MRS. KRISTINE TERESE SCANLAN |
| NPI Number: | 1992013296 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, LDN, MS |
| License Number: | 6588 |
| Business Practice Address: | 116 Interstate Pkwy Bradford, PA - 167011036 |
| Business Phone Number: | 8143684143 |
| Business Fax Number: | |
| Mailing Address: | 24 Orchard Pl, Apt. 205 BRADFORD |
| State: | PA |
| Postal Code: | 167011072 |
| Phone Number: | 3304169635 |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2010 |
| NPI Last Update Date: | 08/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 6588 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| 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 |