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

Krystle Clark, RD

Individual provider Registered Dietitian · NPI 1699449694

Krystle Clark, RD is a Registered Dietitian in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

800 E Milham Ave
Portage, MI 49002-1490
Phone: (269) 888-6813
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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 1012724 (MI)

Record details

NPI number1699449694
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedAugust 3, 2021
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021
Mailing address1404 Cambridge Dr, Kalamazoo, MI 49001-4406

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