Kristen Bourque, RD, LD, CLC

NPI 1881083699 · on the registry since 2015

Practice

Address: 9115 Hague Rd
Indianapolis, IN 46256
Phone: (317) 521-2000
Organisation at this address: Biotel Inr, Llc
Roche Diabetes Care Inc
Premise Health Of Indiana Medical Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Registered Dietitian
133V00000X
Also registered as: Registered Dietitian
Licence states on file: NV, IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-12-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana