Individual
KIMBERLY SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3507 CRAUGHWELL DR, CHARLOTTE, NC 28209-1994
(704) 609-9565
Mailing address
3507 CRAUGHWELL DR, CHARLOTTE, NC 28209-1994
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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