Provider Demographics
NPI:1487528568
Name:KIRTLEY, HANNAH CHRISTINE (MMN, RDN, LMNT, CLC)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:CHRISTINE
Last Name:KIRTLEY
Suffix:
Gender:F
Credentials:MMN, RDN, LMNT, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3389 S 130TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4012
Mailing Address - Country:US
Mailing Address - Phone:402-415-5991
Mailing Address - Fax:
Practice Address - Street 1:3389 S 130TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4012
Practice Address - Country:US
Practice Address - Phone:402-415-5991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered