Debra G Kreps

Individual provider Active NPI Registered Dietitian · Crane Hill, AL

NPI 1366086738 · NPPES record last updated Oct 29, 2019

Key facts

NPI
1366086738
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
0473 (AL)
Practice address
123 County Road 220
Crane Hill, AL 35053-2467
Phone
(256) 708-1389
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
Yes

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
0473ALMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 0473 AL Yes

Addresses

Primary practice location

123 County Road 220
Crane Hill, AL 35053-2467

Mailing address

123 County Road 220
Crane Hill, AL 35053-2467
Phone (256) 708-1389

Other providers in Crane Hill, AL

All providers in Crane Hill, AL · Registered Dietitian in Alabama

Sources for this page

Verify at the official NPI Registry.