Provider Demographics
NPI:1942748439
Name:HOWARD, KRISTI (RD, LD)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1029 WALTERS DR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-4488
Mailing Address - Country:US
Mailing Address - Phone:620-802-3600
Mailing Address - Fax:
Practice Address - Street 1:1029 WALTERS DR
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-4488
Practice Address - Country:US
Practice Address - Phone:620-802-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2117133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered