Kj Nutrition

NPI #1043015449 in Surprise, Arizona

Provider Information

NPI Number: 1043015449
Entity Type: Organization
Organization Name: Kj Nutrition
Primary Specialty: Dietitian, Registered
Enumeration Date: Feb 18, 2025
Last Updated: Feb 18, 2025

Practice Location

Address: 14629 W OBERLIN WAY
City: Surprise
State: Arizona
ZIP Code: 85387-6747
Phone: (719) 290-0002

Authorized Official

Name: KELLI JO GROVER, MDA, RDN
Title: OWNER/DIETITIAN
Phone: (719) 290-0002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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