Provider Demographics
NPI:1457360513
Name:KLEMANN, KRISTIN NOELLE (RD)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:NOELLE
Last Name:KLEMANN
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 1:551 BATTEN BLVD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-8662
Mailing Address - Country:US
Mailing Address - Phone:850-492-9342
Mailing Address - Fax:
Practice Address - Street 1:NAVAL HOSPITAL PENSACOLA 6000 WEST HIGHWAY 98
Practice Address - Street 2:MEDICAL NUTRITION THERAPY DEPT
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32507
Practice Address - Country:US
Practice Address - Phone:850-492-9342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes132700000XDietary & Nutritional Service ProvidersDietary Manager