Provider Demographics
NPI:1417461864
Name:MARIAS, KRISTEN CURRY (RDN)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:CURRY
Last Name:MARIAS
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 1:8767 CHILTON CT
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-9072
Mailing Address - Country:US
Mailing Address - Phone:303-842-7446
Mailing Address - Fax:
Practice Address - Street 1:8767 CHILTON CT
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-9072
Practice Address - Country:US
Practice Address - Phone:303-842-7446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164007202133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered