Individual
KIM CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD/N
Contact information
Practice address
2423 NW 49TH LN, BOCA RATON, FL 33431-4337
(954) 593-9015
Mailing address
2423 NW 49TH LN, BOCA RATON, FL 33431-4337
(954) 593-9015
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
12988
FL
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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