Provider Demographics
NPI:1700608759
Name:NAPORA, KRISTIN GRACE (RDN, CDN)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:GRACE
Last Name:NAPORA
Suffix:
Gender:F
Credentials:RDN, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HOLLY LN APT 8
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-2856
Mailing Address - Country:US
Mailing Address - Phone:917-484-0202
Mailing Address - Fax:
Practice Address - Street 1:1326 NEW SENECA TPKE
Practice Address - Street 2:
Practice Address - City:SKANEATELES
Practice Address - State:NY
Practice Address - Zip Code:13152-8888
Practice Address - Country:US
Practice Address - Phone:315-710-0080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007569-01133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered