Doctor Name: | KIMBERLEY BANDELIER |
NPI Number: | 1003220344 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D. |
License Number: | DT81859 |
Business Practice Address: | 3724 Jefferson St Suite 104 Austin, TX - 787316225 |
Business Phone Number: | 5126937045 |
Business Fax Number: | |
Mailing Address: | 8115 Tahoe Parke Cir, AUSTIN |
State: | TX |
Postal Code: | 787264056 |
Phone Number: | 5127867858 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2014 |
NPI Last Update Date: | 06/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT81859 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |