Provider Demographics
NPI:1346743572
Name:LYNCH, KRISTINE ALI (RD, CDE)
Entity Type:Individual
Prefix:MS
First Name:KRISTINE
Middle Name:ALI
Last Name:LYNCH
Suffix:
Gender:F
Credentials:RD, CDE
Other - Prefix:
Other - First Name:KRISTINE
Other - Middle Name:ROSE
Other - Last Name:ALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 911057
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80291-1057
Mailing Address - Country:US
Mailing Address - Phone:888-269-7001
Mailing Address - Fax:303-764-6640
Practice Address - Street 1:11700 W 2ND PL STE 410
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1711
Practice Address - Country:US
Practice Address - Phone:720-321-8460
Practice Address - Fax:720-321-8461
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered