Provider Demographics
NPI:1427679075
Name:KILTON, CHRISTINA (RD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:KILTON
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 1:2262 AUPAKA ST
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-1213
Mailing Address - Country:US
Mailing Address - Phone:501-396-9825
Mailing Address - Fax:808-725-3137
Practice Address - Street 1:2262 AUPAKA ST
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-1213
Practice Address - Country:US
Practice Address - Phone:501-396-9825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-05
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1936133V00000X
HI317-LD133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty