| Doctor Name: | KIMBERLEY ANN BLOOD |
| NPI Number: | 1396915666 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, CDE |
| License Number: | 967624 |
| Business Practice Address: | 1717 West Cowles Street Fairbanks, AK - 99701 |
| Business Phone Number: | 9074516682 |
| Business Fax Number: | 9074513912 |
| Mailing Address: | 1717 W. Cowles Street, FAIRBANKS |
| State: | AK |
| Postal Code: | 99701 |
| Phone Number: | 9074516682 |
| Fax Number: | 9074513912 |
| NPI Enumeration Date: | 03/03/2008 |
| NPI Last Update Date: | 11/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 967624 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |