Provider Demographics
NPI:1659587673
Name:KUIPER, MARGARET JOAN (MA,RD,LD,)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:JOAN
Last Name:KUIPER
Suffix:
Gender:F
Credentials:MA,RD,LD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1536 COUNTY HIGHWAY 4
Mailing Address - Street 2:
Mailing Address - City:LUVERNE
Mailing Address - State:MN
Mailing Address - Zip Code:56156-4261
Mailing Address - Country:US
Mailing Address - Phone:507-283-8872
Mailing Address - Fax:
Practice Address - Street 1:1601 SIOUX VALLEY DR
Practice Address - Street 2:
Practice Address - City:LUVERNE
Practice Address - State:MN
Practice Address - Zip Code:56156-4500
Practice Address - Country:US
Practice Address - Phone:507-283-4476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1199133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered