Davis, Kristen

Davis, Kristen is an sole proprietor health care provider with primary practice located at 5413 W Genesee St , Camillus NY 13031-2100. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Nutrition, Metabolic is her primary health care specialty. Davis, Kristen can be contacted via phone (315) 727-9251.

Contact Information

Primary practice address
5413 W Genesee St Camillus NY 13031-2100
Fax: (315) 293-2791
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 008367-1 New York
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 008367 New York

Profile Details

NPI number 1134508682
LBN Legal business name Davis, Kristen
Credentials MS, RD, CDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2015
Last updated Apr 16th, 2020 - about 5 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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