Doctor Name: | KIMBERLY RENEE AYRES |
NPI Number: | 1669473161 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD LD |
License Number: | 1036 |
Business Practice Address: | 6730 Sw 29th St Topeka, KS - 666145650 |
Business Phone Number: | 7852722240 |
Business Fax Number: | 7852722250 |
Mailing Address: | Dept Ch 14389, PALATINE |
State: | IL |
Postal Code: | 600554389 |
Phone Number: | 7852958108 |
Fax Number: | 7852707646 |
NPI Enumeration Date: | 08/09/2005 |
NPI Last Update Date: | 03/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |