| Miss Kristen Bourque, RD, LD, CLC | |
|
9115 Hague Rd, Indianapolis, IN 46256-1025 | |
| (317) 521-2000 | |
| Not Available |
| Full Name | Miss Kristen Bourque |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 9115 Hague Rd, Indianapolis, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881083699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 32149DI-0 (Nevada) | Secondary |
| 133V00000X | Dietitian, Registered | 164.007743 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Kristen Bourque, RD, LD, CLC 7408 W Palatine Ave, Chicago, IL 60631-1920 Ph: (702) 250-7901 | Miss Kristen Bourque, RD, LD, CLC 9115 Hague Rd, Indianapolis, IN 46256-1025 Ph: (317) 521-2000 |
Ms. Nicole Michelle Pirau, R.D., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5230 E Stop 11 Rd Ste A, Indianapolis, IN 46237 Phone: 317-851-3697 | |
Tracy Ann Whitaker, MA, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1001 W 10th St, Indianapolis, IN 46202 Phone: 317-630-7287 | |
Mrs. Lauren Gunn, RD, CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 6002 E 38th St, Indianapolis, IN 46226 Phone: 317-880-6002 Fax: 317-880-0417 | |
James David Middleton, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1481 W 10th St, Indianapolis, IN 46202 Phone: 765-635-8310 | |
April Kleber, RD Dietitian Medicare: Medicare Enrolled Practice Location: 7240 Shadeland Sta Ste 200, Indianapolis, IN 46256 Phone: 317-621-2677 Fax: 317-621-2676 | |
Mrs. Laura Marie Schnur, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1001 W 10th St, Indianapolis, IN 46202 Phone: 317-630-7287 | |
Ms. Emily J Dawkins, MS RD CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 6002 E 38th St, Indianapolis, IN 46226 Phone: 317-880-6002 Fax: 317-880-0417 |