Provider Demographics
NPI:1801300256
Name:NUTRITION THERAPY CONSULTANTS INC
Entity type:Organization
Organization Name:NUTRITION THERAPY CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:LINDSEY-DUDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, MPH
Authorized Official - Phone:808-737-3993
Mailing Address - Street 1:3615 HARDING AVE STE 510
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-3757
Mailing Address - Country:US
Mailing Address - Phone:808-737-3993
Mailing Address - Fax:866-497-5330
Practice Address - Street 1:3615 HARDING AVE STE 510
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-3757
Practice Address - Country:US
Practice Address - Phone:808-737-3993
Practice Address - Fax:866-497-5330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-21
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty