NPI 1104075514 · Dietitian/Nutritionist · Kpic
Active in carrier directories but no matching Colorado DORA license record found.
NPPES
BOULDER, 80301
Freshness: Unknown
Network Status
Listed with 1 carrier
DORA License
No license data
Medicare
Enrolled but no billing activity
Care Compare
No Care Compare data
PECOS Enrollment
Medicare enrolled
Active NPI with specialty classification
No DORA license data found
No Medicare billing · No electronic endpoint
Single address source (NPPES)
Weak network corroboration
1 network across 1 carrier
Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.