Kimberly Eileen Credle RN, BSN, RD, LD

NPI 1154518256 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1154518256
Gender Female
Enumeration Date 10/02/2007
Last Updated 10/02/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1230 BAXTER ST
ATHENS GA, 30606-3712, US
Phone (706) 389-2150
Fax (706) 389-2151
Business Location
1230 BAXTER ST
ATHENS GA, 30606-3712, US
Phone (706) 389-2150
Fax (706) 389-2151
Toxanomy
Taxonomy Code 133V00000X
License State Georgia
License Number LD002413
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According to our database, Mrs. Kimberly Eileen Credle RN, BSN, RD, LD NPI is 1154518256, taxonomy code is 133V00000X and license number is LD002413, license state is located at Georgia. Kimberly Eileen Credle RN, BSN, RD, LD physically located at 1230 Baxter St, Athens GA, 30606-3712. NPI Number Kimberly Eileen Credle RN, BSN, RD, LD has the Individual type.

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1154518256 NPI number is provided on an as is basis without warranty of any kind. 1154518256 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Eileen Credle RN, BSN, RD, LD are for informational purposes only.