Provider Demographics
NPI:1427774678
Name:FOLEY, KRISTINE M (RD LMNT LD)
Entity type:Individual
Prefix:
First Name:KRISTINE
Middle Name:M
Last Name:FOLEY
Suffix:
Gender:F
Credentials:RD LMNT LD
Other - Prefix:
Other - First Name:KRISTINE
Other - Middle Name:M
Other - Last Name:DUGGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11231 COVE HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-5698
Mailing Address - Country:US
Mailing Address - Phone:402-650-0823
Mailing Address - Fax:
Practice Address - Street 1:2602 J ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-1643
Practice Address - Country:US
Practice Address - Phone:402-650-0823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1070133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered