Brad Kittelson, LRD

NPI #1003237736 in Fargo, North Dakota

Provider Information

NPI Number: 1003237736
Entity Type: Individual
Name: Brad Kittelson, LRD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: LRD
Enumeration Date: Dec 24, 2013
Last Updated: Mar 25, 2014

Practice Location

Address: 1720 UNIVERSITY DR S
City: Fargo
State: North Dakota
ZIP Code: 58103-4940
Phone: (701) 280-4474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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