Provider Demographics
NPI:1235780347
Name:ZEHRING, KRYSTIN (RD, LD)
Entity Type:Individual
Prefix:
First Name:KRYSTIN
Middle Name:
Last Name:ZEHRING
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4413 SW 53RD TER
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-9707
Mailing Address - Country:US
Mailing Address - Phone:602-332-9864
Mailing Address - Fax:
Practice Address - Street 1:4413 SW 53RD TER
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-9707
Practice Address - Country:US
Practice Address - Phone:602-332-9864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND9454133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered