Provider Demographics
NPI:1891549614
Name:SCHMEDDING, KRISTINE ANITA (RDN)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:ANITA
Last Name:SCHMEDDING
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 1:1245 SW CAMPUS VIEW DR
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-2075
Mailing Address - Country:US
Mailing Address - Phone:509-869-5578
Mailing Address - Fax:
Practice Address - Street 1:1245 SW CAMPUS VIEW DR
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-2075
Practice Address - Country:US
Practice Address - Phone:509-869-5578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered