KLL Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

KLL NUTRITION, LLC

Practice address

2727 Reeds Lake Blvd SE
Grand Rapids, MI 49506-2053

Phone

(616) 443-7775

NPI assigned

Nov 4, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristen L Lorenz, RD

Title

Owner / Registered Dietitian

Phone

(616) 443-7775

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1154038594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 REEDS LAKE BLVD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062053",
            "telephone_number": "616-443-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 REEDS LAKE BLVD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062053",
            "telephone_number": "616-443-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLL NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "LORENZ",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "616-443-7775",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Klingeman, MD
• Jessica Klinger
• Myiah Klinger, LMSW
• Pamela Lynn Klinkner, PA
• Amy Lynn Kliven, MSW
• Hannah Klockner
• Carley Klocko
• Ashley Klockziem
• Samantha L Klokkert, MSW INTERN
• Allison Klooster

• Registered Dietitian in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.