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NPI Code Detail

MEDICARE: HEIDI JEANETTE KINSINGER LD

MEDICARE: HEIDI JEANETTE KINSINGER LD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian32941-DI-4NV

General Provider Information

NPI Number : 1083367718
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI JEANETTE KINSINGER LD
Provider Business Mailing Address
First Line : 680 S ROCK BLVD
Second Line :
City : RENO
State : NV
Zip : 89502-4113
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 680 S ROCK BLVD
Second Line :
City : RENO
State : NV
Zip : 89502-4113
Country : US
Telephone Number : 775-870-4343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2022
Last Update Date : 02/02/2022

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Directions to “ HEIDI JEANETTE KINSINGER LD” Practice Location

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