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Contact Information

LYNN M KITSLAAR, RD
1630 COMMANCHE AVE
GREEN BAY, WI54313-5753
 Phone: 920-430-4700
 Fax: 920-430-4747
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for LYNN M KITSLAAR · (Female)

NPI Number 1255316717
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 12/07/2005
Last updated 08/21/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1399-29
  • WI Other 850912 COMMISSION ON DIETETIC REGISTRATION
  • WI Other 20110340 NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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