Provider Demographics
NPI:1336925148
Name:CHRISTINA KILTON NUTRITION LLC
Entity Type:Organization
Organization Name:CHRISTINA KILTON NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KILTON
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD
Authorized Official - Phone:501-396-9825
Mailing Address - Street 1:2262 AUPAKA ST
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-1213
Mailing Address - Country:US
Mailing Address - Phone:501-396-9825
Mailing Address - Fax:808-725-3137
Practice Address - Street 1:2262 AUPAKA ST
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-1213
Practice Address - Country:US
Practice Address - Phone:501-396-9825
Practice Address - Fax:808-725-3137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty