| Doctor Name: | KIMBERLY SPEROS |
| NPI Number: | 1407243686 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD CNSC |
| License Number: | 11002 |
| Business Practice Address: | 350 W Thomas Rd Food & Nutrition Department Phoenix, AZ - 850134409 |
| Business Phone Number: | 6024063115 |
| Business Fax Number: | 6024066660 |
| Mailing Address: | 1210 E Northern Ave, PHOENIX |
| State: | AZ |
| Postal Code: | 850204217 |
| Phone Number: | 6026774164 |
| Fax Number: | 6025327146 |
| NPI Enumeration Date: | 04/24/2015 |
| NPI Last Update Date: | 04/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 11002 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |