Clemenson, Kristin R
Clemenson, Kristin R is an individual health care provider with primary practice located at 4455 Cordata Pkwy , Bellingham WA 98226-8037. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Clemenson, Kristin R can be contacted via phone (360) 671-3225.Contact Information
Primary practice address
4455 Cordata Pkwy
Bellingham WA 98226-8037
Phone: (360) 671-3225
Fax: (360) 671-0000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DI00000898 | Washington |
Profile Details
| NPI number | 1538215850 |
|---|---|
| LBN Legal business name | Clemenson, Kristin R |
| Credentials | BS, RD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538215850 | NPPES |
| Washington | MEDICAID | 7406051 | |
| Washington | Other | 0209527 |
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