Provider Demographics
NPI:1235256199
Name:JENNINGS, KRISTIN L (RD, LD, LDN)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:L
Last Name:JENNINGS
Suffix:
Gender:F
Credentials:RD, LD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4552 WINTERBURN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15207-1254
Mailing Address - Country:US
Mailing Address - Phone:412-422-0529
Mailing Address - Fax:
Practice Address - Street 1:4552 WINTERBURN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15207-1254
Practice Address - Country:US
Practice Address - Phone:412-422-0529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered133N00000XDietary & Nutritional Service ProvidersNutritionist
Not Answered133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
Not Answered133V00000XDietary & Nutritional Service ProvidersDietitian, Registered