Doctor Name: | MS. KIMBERLY J MYERS |
NPI Number: | 1821227034 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CN |
License Number: | KY2113 |
Business Practice Address: | 194 Windsor Dr. Flemingsburg, KY - 41041 |
Business Phone Number: | 6068456511 |
Business Fax Number: | 6068450879 |
Mailing Address: | 194 Windsor Dr., FLEMINGSBURG |
State: | KY |
Postal Code: | 41041 |
Phone Number: | 6068456511 |
Fax Number: | 6068450879 |
NPI Enumeration Date: | 07/09/2009 |
NPI Last Update Date: | 07/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | KY2113 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |