NPI 1114554060

Kristen Johnson, RD

Practitioner Registered Dietitian Provo, UT

Practice location

Address: 395 W Cougar Blvd STE 203, Provo, UT 84604-3328
Phone: (801) 357-7706
Mailing address: 954 N Silver Wolf Rd, Elk Ridge, UT 84651-4582

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 5911399-4901 (UT)

Other Dietitian, Registered providers in Utah →

Registry record

NPI: 1114554060
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Mar 2020
Record last updated: 23 Mar 2020

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.