Provider Demographics
NPI:1124129366
Name:SCHULTE, KRISTENE WHITLOCK (RD, CD, CDE)
Entity type:Individual
Prefix:MRS
First Name:KRISTENE
Middle Name:WHITLOCK
Last Name:SCHULTE
Suffix:
Gender:F
Credentials:RD, CD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10042 COUNTY ROAD F
Mailing Address - Street 2:
Mailing Address - City:MILLADORE
Mailing Address - State:WI
Mailing Address - Zip Code:54454-9735
Mailing Address - Country:US
Mailing Address - Phone:715-652-2744
Mailing Address - Fax:
Practice Address - Street 1:611 SAINT JOSEPH AVE
Practice Address - Street 2:DIABETES CENTER OF MARSHFIELD
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-1832
Practice Address - Country:US
Practice Address - Phone:715-387-7352
Practice Address - Fax:715-387-7251
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1363-029133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered