Organization Name: | KIMBLE, INC. |
NPI Number: | 1245631431 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURIE WENZEL (DIETITIAN) |
Mailing Address: | 5263 Images Cir #106 Kissimmee |
State: | FL US |
Postal Code: | 347464756 |
Phone Number: | 4073979705 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2014 |
NPI Last Update Date: | 09/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND3529 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |