Doctor Name: | MS. KIMBERLY LOUISE JOHNSON |
NPI Number: | 1295857886 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D.L.D.,CDE |
License Number: | 1748 |
Business Practice Address: | 750 E 34th St Hibbing, MN - 557462341 |
Business Phone Number: | 2183626608 |
Business Fax Number: | 2183626617 |
Mailing Address: | 750 E 34th St, HIBBING |
State: | MN |
Postal Code: | 557462341 |
Phone Number: | 2183626608 |
Fax Number: | 2183626617 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1748 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |