| NPI | 1265628028 |
|---|---|
| Former Name | KRISTY LEA MCKIBBEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH 6049) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT89222) |
| 133V00000X Dietitian, Registered (Licence: WV 1612) | |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2023-12-29 |