| Doctor Name: | KIMBERLY J MATHAI |
| NPI Number: | 1912185174 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, CDE |
| License Number: | DI00000974 |
| Business Practice Address: | 16523 7th Pl W Lynnwood, WA - 980378107 |
| Business Phone Number: | 4254123280 |
| Business Fax Number: | 4254123281 |
| Mailing Address: | 2111 N Northgate Way Ste 217, SEATTLE |
| State: | WA |
| Postal Code: | 981339018 |
| Phone Number: | 2063635420 |
| Fax Number: | 2062570488 |
| NPI Enumeration Date: | 02/08/2008 |
| NPI Last Update Date: | 12/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DI00000974 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |