Individual provider · NPI-1

Kristy Lynn Gordon

Nutritionist, Nutrition, Education · Colorado Springs, CO

NPI number1942940317
StatusActive
Last updated in NPPESMar 31, 2022

Details

NPI
1942940317
Entity type
Individual (NPI-1)
Name
Kristy Lynn Gordon
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 31, 2022
Certification date
Mar 31, 2022
Last updated
Mar 31, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133NN1002X Nutritionist, Nutrition, Education––Yes

Practice location

10859 Rolling Cloud Dr
Colorado Springs, CO 80908-5232

Phone 719-399-5502

Mailing address

10859 Rolling Cloud Dr
Colorado Springs, CO 80908-5232

Phone 719-399-5502

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nutritionist, Nutrition, Education providers in Colorado Springs, CO