Provider Demographics
NPI:1528313483
Name:HOFFPAUIR, KRISTIE T (LDN RD)
Entity type:Individual
Prefix:
First Name:KRISTIE
Middle Name:T
Last Name:HOFFPAUIR
Suffix:
Gender:F
Credentials:LDN RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 W BLOCH ST
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-5214
Mailing Address - Country:US
Mailing Address - Phone:337-948-0220
Mailing Address - Fax:337-948-0324
Practice Address - Street 1:308 W BLOCH ST
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-5214
Practice Address - Country:US
Practice Address - Phone:337-948-0220
Practice Address - Fax:337-948-0324
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1633133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered