Provider Demographics
NPI:1073067567
Name:ARNOLD, KRISTEN (RDN, LD, MS)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:RDN, LD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 E LIBERTY ST
Mailing Address - Street 2:APARTMENT 2
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-8544
Mailing Address - Country:US
Mailing Address - Phone:614-218-4702
Mailing Address - Fax:
Practice Address - Street 1:306 E LIBERTY ST
Practice Address - Street 2:APARTMENT 2
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-8544
Practice Address - Country:US
Practice Address - Phone:614-218-4702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7544133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered