Provider Demographics
NPI:1801099239
Name:KNIPE, CYNTHIA A (RD)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:A
Last Name:KNIPE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 486
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03455-0486
Mailing Address - Country:US
Mailing Address - Phone:603-738-5791
Mailing Address - Fax:
Practice Address - Street 1:25 ROXBURY ST STE 111
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3286
Practice Address - Country:US
Practice Address - Phone:603-738-5791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH460133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered