Provider Demographics
NPI:1316348733
Name:WINKELS, KRISTI J (RDN, LD)
Entity type:Individual
Prefix:MS
First Name:KRISTI
Middle Name:J
Last Name:WINKELS
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19664 EMERSON CIR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55024-7150
Mailing Address - Country:US
Mailing Address - Phone:651-463-4654
Mailing Address - Fax:
Practice Address - Street 1:19664 EMERSON CIR
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55024-7150
Practice Address - Country:US
Practice Address - Phone:651-463-4654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-05
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2977133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered