Provider Demographics
NPI:1063969400
Name:HALL, KRISTY (MS, ROHP, RNCP)
Entity type:Individual
Prefix:
First Name:KRISTY
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:MS, ROHP, RNCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 N TAFT AVE
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537
Mailing Address - Country:US
Mailing Address - Phone:970-685-8531
Mailing Address - Fax:970-669-7096
Practice Address - Street 1:1435 W 29TH ST.
Practice Address - Street 2:SUITE 100
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538
Practice Address - Country:US
Practice Address - Phone:970-685-8531
Practice Address - Fax:970-669-7096
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist