Provider Demographics
NPI:1679787469
Name:KIEVIT, ROBYN L (RD, CFNP)
Entity Type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:L
Last Name:KIEVIT
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Gender:F
Credentials:RD, CFNP
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Mailing Address - Street 1:36 TEMPLE ST
Mailing Address - Street 2:#5
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-4259
Mailing Address - Country:US
Mailing Address - Phone:617-838-4788
Mailing Address - Fax:617-824-7897
Practice Address - Street 1:120 BOYLSTON ST
Practice Address - Street 2:EMERSON COLLEGE CENTER FOR HEALTH & WELLNESS
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-4611
Practice Address - Country:US
Practice Address - Phone:617-824-8666
Practice Address - Fax:617-824-7897
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA232083363LF0000X
MA1497133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered