MEDICARE: MS. MONICA JEAN KRYGOWSKI M.S., R.D.,

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
1	133V00000X	Registered Dietitian	DT03946	TX
2	133V00000X	Registered Dietitian	724999

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	724999	OTHER		AMERICAN DIETETIC ASSOCIATION

General Provider Information

NPI Number	:	1124262993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MONICA JEAN KRYGOWSKI M.S., R.D.,

Provider Business Mailing Address
First Line	:	25238 FOOTHILLS DR N
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-8540
Country	:	US
Telephone Number	:	303-862-0115
Fax Number	:	303-223-2334

Provider Business Practice Location Address
First Line	:	662 GRANT ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-3507
Country	:	US
Telephone Number	:	303-862-0115
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2009
Last Update Date	:	04/23/2009

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