Provider Demographics
NPI:1427418144
Name:KLEINSCHMIDT, KRISTIN (MA, RD/LDN, CNSC)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:KLEINSCHMIDT
Suffix:
Gender:F
Credentials:MA, RD/LDN, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 SCHWAB RD
Mailing Address - Street 2:
Mailing Address - City:HATFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19440-3204
Mailing Address - Country:US
Mailing Address - Phone:267-884-9850
Mailing Address - Fax:
Practice Address - Street 1:619 SCHWAB RD
Practice Address - Street 2:
Practice Address - City:HATFIELD
Practice Address - State:PA
Practice Address - Zip Code:19440-3204
Practice Address - Country:US
Practice Address - Phone:267-884-9850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-24
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005548133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered