Provider Demographics
NPI:1124262993
Name:KRYGOWSKI, MONICA JEAN (MS, RD,)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:JEAN
Last Name:KRYGOWSKI
Suffix:
Gender:F
Credentials:MS, RD,
Other - Prefix:MS
Other - First Name:MONICA
Other - Middle Name:B
Other - Last Name:KRYGOWSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, RD, CLT
Mailing Address - Street 1:25238 FOOTHILLS DR N
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-8540
Mailing Address - Country:US
Mailing Address - Phone:303-862-0115
Mailing Address - Fax:303-223-2334
Practice Address - Street 1:662 GRANT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3507
Practice Address - Country:US
Practice Address - Phone:303-862-0115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT03946133V00000X
724999133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
724999OtherAMERICAN DIETETIC ASSOCIATION