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Individual
MS. KIMBERLY J HAMMON
Active
Individual
MS. KIMBERLY J HAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164000434
IL
163WD0400X
Diabetes Educator Registered Nurse
164000434
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164000434
STATE LICENSE
IL
Enumeration date
05/21/2008
Last updated
07/21/2022
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