MEDICARE: MRS. KRISTINA MARIE MAY MS,RD,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
1	133V00000X	Registered Dietitian	DT06433	TX
2	133V00000X	Registered Dietitian	915709	TX

General Provider Information

NPI Number	:	1578877080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTINA MARIE MAY MS,RD,LD

Provider Business Mailing Address
First Line	:	PO BOX 944
Second Line	:
City	:	WINNIE
State	:	TX
Zip	:	77665-0944
Country	:	US
Telephone Number	:	409-296-2340
Fax Number	:

Provider Business Practice Location Address
First Line	:	124 FAIRVIEW CEMETARY DR
Second Line	:
City	:	WINNIE
State	:	TX
Zip	:	77665-8798
Country	:	US
Telephone Number	:	409-296-2340
Fax Number	:

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

Provider Enumeration Date	:	07/27/2010
Last Update Date	:	07/27/2010

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