Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kendra Jo Kisner, MS, RDN, LRD

Individual provider Registered Dietitian · NPI 1376408104

Kendra Jo Kisner, MS, RDN, LRD is a Registered Dietitian OR Nutrition Professional in Fargo, North Dakota. Qualified in 2025, 1 year ago. Licensed in North Dakota.

Years since qualifying
1
Licensed in
ND
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

1717 University Dr S
Fargo, ND 58103-4939
Phone: (701) 234-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1693 (ND)

Record details

NPI number1376408104
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RDN , LRD
Sole proprietorNo
NPI enumeratedDecember 23, 2025
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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