| Doctor Name: | KIMBERLY V TERRELL |
| NPI Number: | 1841569993 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD |
| License Number: | LD002241 |
| Business Practice Address: | 196 Ridgecrest Cir Clayton, GA - 305254111 |
| Business Phone Number: | 7067824233 |
| Business Fax Number: | 7067826451 |
| Mailing Address: | 5303 Vaughn Rd, MONTGOMERY |
| State: | AL |
| Postal Code: | 361161120 |
| Phone Number: | 3343860378 |
| Fax Number: | 3373860382 |
| NPI Enumeration Date: | 12/19/2011 |
| NPI Last Update Date: | 12/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | LD002241 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| 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 |