Doctor Name: | KIMBERLY K. DICKSON |
NPI Number: | 1114362308 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, CDE |
License Number: | DT06169 |
Business Practice Address: | 1575 I-30 Mesquite, TX - 751506905 |
Business Phone Number: | 4698002800 |
Business Fax Number: | 4698002801 |
Mailing Address: | 1575 I-30, MESQUITE |
State: | TX |
Postal Code: | 751506905 |
Phone Number: | 4698002800 |
Fax Number: | 4698002801 |
NPI Enumeration Date: | 05/02/2013 |
NPI Last Update Date: | 07/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT06169 |
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 |