Individual
KIMBERLY COOK BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8941 BALDWIN RD, BALDWIN, IL 62217-1607
(618) 606-0493
Mailing address
8941 BALDWIN RD, BALDWIN, IL 62217-1607
(618) 606-0493
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.008217
IL
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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