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Individual
KIMBERLY LYNN BOND
Active
Individual
KIMBERLY LYNN BOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LMNT, LD, CNSC
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01583
IA
133V00000X
Registered Dietitian
601
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01583
LICENSED DIETITIAN
IA
01
—
601
MEDICAL NUTRITION THERAPIST
NE
01
—
898982
REGISTERED DIETITIAN
IA
Enumeration date
12/06/2011
Last updated
12/06/2011
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