Brown, Kristan Stewart

Brown, Kristan Stewart is an individual health care provider with primary practice located at 1120 Grove Rd , Greenville SC 29605-4656. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Nutrition, Pediatric is her primary health care specialty. Brown, Kristan Stewart can be contacted via phone (864) 455-8897.

Contact Information

Primary practice address
1120 Grove Rd Greenville SC 29605-4656
Phone: (864) 455-8897
Fax: (864) 455-8555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1224 South Carolina
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 1224 South Carolina

Profile Details

NPI number 1215318720
LBN Legal business name Brown, Kristan Stewart
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2015
Last updated May 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215318720 NPPES
South Carolina MEDICAID NP1980

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