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Lynn M Kitslaar, RD
Registered Dietitian in Green Bay, Wisconsin
NPI 1255316717

Lynn M Kitslaar is a Registered Dietitian based in Green Bay, WI. Lynn M Kitslaar practices in Green Bay, WI and has the professional credentials of RD. The NPI Number for Lynn M Kitslaar is 1255316717 and holds a License No. 1399-29 (Wisconsin).

The current practice location address for Lynn M Kitslaar is 1630 Commanche Ave, Green Bay, WI and can be reached out via phone at 920-430-4700 and via fax at 920-430-4747. You can also correspond with Lynn M Kitslaar through the mailing address at PO BOX 22487, GREEN BAY, WI - 54305-2487 (mailing address contact number: 920-445-7222).

Location: 1630 Commanche Ave, Green Bay, WI, 54305-2487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255316717
Provider Name
Lynn M Kitslaar
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
1630 Commanche Ave, Green Bay, WI, 54305-2487
Phone Number
920-430-4700
Fax Number
920-430-4747
Provider Enumeration Date
12/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20110340 01 WI NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS
850912 01 WI COMMISSION ON DIETETIC REGISTRATION
institution
Provider Business Practice Location Address Details
Address
1630 Commanche Ave
City
Green Bay
State
Wisconsin
Zip
54313-5753
Phone Number
920-430-4700
Fax Number
920-430-4747
person
Provider Business Mailing Address Details
Address
Po Box 22487
City
Green Bay
State
Wisconsin
Zip
54305-2487
Phone Number
920-445-7222
Fax Number
920-445-7289
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
1399-29 (Wisconsin)
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
person
Provider's Taxonomy Details 2
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Metabolic
Taxonomy
133VN1006X
License No.
1399-29 (Wisconsin)
Definition
Definition to come...
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