Doctor Name: | MRS. KIM C CARR - FREMONT |
NPI Number: | 1285873760 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS/RD/LD |
License Number: | 164.002637 |
Business Practice Address: | 8446 Page Ave Saint Louis, MO - 631301055 |
Business Phone Number: | 8005443059 |
Business Fax Number: | 3144239825 |
Mailing Address: | 8446 Page Ave, SAINT LOUIS |
State: | MO |
Postal Code: | 631301055 |
Phone Number: | 8005443059 |
Fax Number: | 3144239825 |
NPI Enumeration Date: | 02/06/2009 |
NPI Last Update Date: | 02/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164.002637 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |