Alyson L Kresser, RD

Individual provider Active NPI Registered Dietitian · Fairchild Air Force Base, WA

NPI 1043403603 · NPPES record last updated Aug 24, 2011

Key facts

NPI
1043403603
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
925144 (WA)
Practice address
92 Amds/SGPZ
701 Hospital Loop
Fairchild Air Force Base, WA 99011
Phone
(509) 247-5590
Fax
(509) 247-2314
NPI assigned
Aug 27, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DI 60018751WAMDNutritionist
925144WAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 925144 WA Yes
Nutritionist 133N00000X DI 60018751 WA

Addresses

Primary practice location

92 Amds/SGPZ
701 Hospital Loop
Fairchild Air Force Base, WA 99011

Mailing address

92 Amds/SGPZ
701 Hospital Loop
Fairchild Air Force Base, WA 99011
Phone (509) 247-5590

Other names

  • Miss Alyson L Kresser Professional name

Other providers in Fairchild Air Force Base, WA

All providers in Fairchild Air Force Base, WA · Registered Dietitian in Washington

Sources for this page

Verify at the official NPI Registry.