Most Relevant Information
Provider Data
| NPI Number: | 1003205527 |
| Provider Name: | ANNA KRISTIN PAYNE RDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 1094814 |
Most Important Dates
| Enumeration Date: | 01/21/2015 |
| Last Updated: | 02/06/2021 |
Provider Practice Location
943 SHORT ST
CANON CITY
CO
812124256
Practice Location Phone/Fax
| Phone: | 7194261899 |
| Fax: |
Provider Mailing Location
427 GREENWOOD AVE
CANON CITY
CO
812123245
Provider Mailing Phone/Fax
| Phone: | 5407974128 |
| Fax: |