Healthcare Provider Details

I. General information

NPI: 1659587673
Provider Name (Legal Business Name): MARGARET JOAN KUIPER M.A.,R.D.,L.D.,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 SIOUX VALLEY DR
LUVERNE MN
56156-4500
US

IV. Provider business mailing address

1536 COUNTY HIGHWAY 4
LUVERNE MN
56156-4261
US

V. Phone/Fax

Practice location:
  • Phone: 507-283-4476
  • Fax:
Mailing address:
  • Phone: 507-283-8872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1199
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: