MRS. Kendal Wagner Kruse, RD

NPI #1184021156 in Nome, Alaska

Provider Information

NPI Number: 1184021156
Entity Type: Individual
Name: MRS. Kendal Wagner Kruse, RD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Nov 19, 2014
Last Updated: Oct 14, 2015

Practice Location

Address: 1000 GREG KRUSCHEK AVENUE
City: Nome
State: Alaska
ZIP Code: 99762
Phone: (907) 443-4589

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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