NPI 1003237736

Brad Kittelson, LRD

Practitioner Registered Dietitian Fargo, ND

Practice location

Address: 1720 University Dr S, Fargo, ND 58103-4940
Phone: (701) 280-4474
Mailing address: PO Box 2168, Fargo, ND 58107-2168

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 397 (ND)

Other Dietitian, Registered providers in North Dakota →

Registry record

NPI: 1003237736
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Dec 2013
Record last updated: 25 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.