Individual provider · Type 1 NPI

Kristen Bourque, RD, LD, CLC

Registered Dietitian · Indianapolis, IN

NPI number 1881083699 Active

Practice location

9115 Hague Rd
Indianapolis, IN 46256-1025

Call (317) 521-2000 Map

Mailing address

7408 W Palatine Ave
Chicago, IL 60631-1920

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000X32149DI-0 (NV)
Registered Dietitian Primary 133V00000X164.007743 (IL)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1881083699

Kristen Bourque, RD, LD, CLC's National Provider Identifier is 1881083699, issued on Jan 16, 2015. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Indianapolis, IN. The record was last updated on Dec 15, 2021.