Kacie Elizabeth Krol, RDN

Individual provider Active NPI Registered Dietitian · Pinckney, MI

NPI 1609687136 · NPPES record last updated Jan 15, 2025

Key facts

NPI
1609687136
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
DT91653 (TX)
Practice address
2990 Saddlebrook CT
Pinckney, MI 48169-8036
Phone
(734) 474-5653
NPI assigned
Jan 15, 2025
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
DT91653TXMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT91653 TX Yes

Addresses

Primary practice location

2990 Saddlebrook CT
Pinckney, MI 48169-8036

Mailing address

2990 Saddlebrook CT
Pinckney, MI 48169-8036
Phone (734) 474-5653

Other providers in Pinckney, MI

All providers in Pinckney, MI · Registered Dietitian in Michigan

Sources for this page

Verify at the official NPI Registry.