Doctor Name: | KIMBERLY D ADDISON |
NPI Number: | 1912995457 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 621278 |
Business Practice Address: | 1792 Al Highway 157 Cullman, AL - 350583622 |
Business Phone Number: | 2567372025 |
Business Fax Number: | 2567372829 |
Mailing Address: | 1912 Al Highway 157, CULLMAN |
State: | AL |
Postal Code: | 350580609 |
Phone Number: | 2567372882 |
Fax Number: | 2567372005 |
NPI Enumeration Date: | 10/10/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 621278 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |