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NPI Code Detail

MEDICARE: KRISTA GAIL KIGER RD

MEDICARE: KRISTA GAIL KIGER RD
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 DietitianL000457NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912542531
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA GAIL KIGER RD
Provider Business Mailing Address
First Line : PO BOX 603949
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-3949
Country : US
Telephone Number : 919-350-0351
Fax Number : 919-350-7687
Provider Business Practice Location Address
First Line : 7901 T W ALEXANDER DR
Second Line :
City : RALEIGH
State : NC
Zip : 27617-7211
Country : US
Telephone Number : 919-350-1508
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2019
Last Update Date : 02/05/2024

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Directions to “ KRISTA GAIL KIGER RD” Practice Location

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