Individual
KIMBERLY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNTP
Contact information
Practice address
6275 N 12TH E, IDAHO FALLS, ID 83401-1120
(208) 557-1617
Mailing address
6275 N 12TH E, IDAHO FALLS, ID 83401-1120
(208) 557-1617
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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