Provider Demographics
NPI:1598363046
Name:DOLL, ARYN K (RDN)
Entity Type:Individual
Prefix:MS
First Name:ARYN
Middle Name:K
Last Name:DOLL
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 1:1515 W ALASKA PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80223-1901
Mailing Address - Country:US
Mailing Address - Phone:317-691-3347
Mailing Address - Fax:
Practice Address - Street 1:1515 W ALASKA PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80223-1901
Practice Address - Country:US
Practice Address - Phone:317-691-3347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO86072876133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered