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Mrs. Kristan Lee Pontillo, RD
Renal Nutrition Registered Dietitian in Roseville, California
NPI 1548399074

Kristan Lee Pontillo is a Renal Nutrition Registered Dietitian based in Newcastle, CA and is specialized in Nutrition, Renal. Kristan Lee Pontillo practices in Roseville, CA and has the professional credentials of RD. The NPI Number for Kristan Lee Pontillo is 1548399074 and holds a License No. 715415 (California).

The current practice location address for Kristan Lee Pontillo is 151 N Sunrise Ave, Roseville, CA and can be reached out via phone at 916-624-3871.

Location: 151 N Sunrise Ave, Roseville, CA, 95658-9457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548399074
Provider Name
Kristan Lee Pontillo
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
151 N Sunrise Ave, Roseville, CA, 95658-9457
Phone Number
916-624-3871
Fax Number
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
151 N Sunrise Ave
City
Roseville
State
California
Zip
95661-2932
Phone Number
916-624-3871
Fax Number
person
Provider Business Mailing Address Details
Address
151 N Sunrise Ave
City
Roseville
State
California
Zip
95661-2932
Phone Number
916-624-3871
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Renal
Taxonomy
133VN1005X
License No.
715415 (California)
Definition
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.
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