NPI 1003460882

Kyndal Lyn Hettich, RDCSPCD

Practitioner Registered Dietitian Milwaukee, WI

Practice location

Address: 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874
Phone: (414) 266-5938
Mailing address: 1626 N Prospect Ave APT 706, Milwaukee, WI 53202-2421

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Wisconsin →

Registry record

NPI: 1003460882
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jul 2019
Record last updated: 30 Jul 2019

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.