Individual
MS. KIMBERLY M SHACKELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
503 N 21ST ST, CAMP HILL, PA 17011-2288
(717) 763-2100
Mailing address
1278 STONEHENGE DR, YORK, PA 17404-9186
(717) 880-6231
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
722420
PA
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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