Provider Demographics
NPI:1316684020
Name:KISS, BRITTANY (RD)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:KISS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 E 2ND ST APT 3
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02127-6677
Mailing Address - Country:US
Mailing Address - Phone:847-544-9961
Mailing Address - Fax:
Practice Address - Street 1:875 E 2ND ST APT 3
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02127-6677
Practice Address - Country:US
Practice Address - Phone:847-544-9961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-14
Last Update Date:2022-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty