Provider Demographics
NPI:1437468139
Name:JANNEY, KRISTIN C (MS, RD)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:C
Last Name:JANNEY
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 N 50TH ST
Mailing Address - Street 2:#101
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6039
Mailing Address - Country:US
Mailing Address - Phone:541-490-0884
Mailing Address - Fax:
Practice Address - Street 1:705 N 50TH ST
Practice Address - Street 2:#101
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6039
Practice Address - Country:US
Practice Address - Phone:541-490-0884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO01000769133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered