Provider Demographics
NPI:1962155788
Name:ARKLE, CHRISTINE M (RD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:ARKLE
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 1:5210 PARKLANE DR
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-8605
Mailing Address - Country:US
Mailing Address - Phone:308-233-5011
Mailing Address - Fax:
Practice Address - Street 1:5210 PARKLANE DR
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-8605
Practice Address - Country:US
Practice Address - Phone:308-233-5011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE358133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal