Brynn H Klein, RD,LD

Individual provider Active NPI Registered Dietitian · Fargo, ND

NPI 1437869294 · NPPES record last updated Dec 1, 2022

Key facts

NPI
1437869294
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1393 (ND)
Practice address
3000 32ND Ave S
Fargo, ND 58103-6132
Phone
(701) 364-8000
NPI assigned
Dec 1, 2022
Sex
Male
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
1393NDMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1393 ND Yes

Addresses

Primary practice location

3000 32ND Ave S
Fargo, ND 58103-6132

Mailing address

1702 University Dr S
Fargo, ND 58103-4940

Other providers in Fargo, ND

All providers in Fargo, ND · Registered Dietitian in North Dakota

Sources for this page

Verify at the official NPI Registry.