Provider Demographics
NPI:1225758006
Name:GREINER, KRISTIN M (RDN)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:M
Last Name:GREINER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2448 DELICATO CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-7658
Mailing Address - Country:US
Mailing Address - Phone:623-556-6582
Mailing Address - Fax:
Practice Address - Street 1:2448 DELICATO CT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-7658
Practice Address - Country:US
Practice Address - Phone:623-556-6582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10225819133V00000X
CO86325251133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered