Kristen Johnson, RD

NPI #1114554060 in Provo, Utah

Provider Information

NPI Number: 1114554060
Entity Type: Individual
Name: Kristen Johnson, RD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Mar 23, 2020
Last Updated: Mar 23, 2020

Practice Location

Address: 395 W COUGAR BLVD STE 203
City: Provo
State: Utah
ZIP Code: 84604-3328
Phone: (801) 357-7706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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