Doctor Name: | KELLEY C KIM |
NPI Number: | 1588985139 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 963781 |
Business Practice Address: | 2211 Moorpark Ave Suite 218 San Jose, CA - 951282654 |
Business Phone Number: | 4089982325 |
Business Fax Number: | 4089982022 |
Mailing Address: | 72 N Buena Vista Ave, SAN JOSE |
State: | CA |
Postal Code: | 951262824 |
Phone Number: | 4089982325 |
Fax Number: | 4089982022 |
NPI Enumeration Date: | 06/17/2010 |
NPI Last Update Date: | 06/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 963781 |
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 |