Individual
KIMBERLY K. DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
1575 I-30, MESQUITE, TX 75150-6905
(469) 800-2800
(469) 800-2801
Mailing address
1575 I-30, MESQUITE, TX 75150-6905
(469) 800-2800
(469) 800-2801
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06169
TX
Other
Enumeration date
05/02/2013
Last updated
07/18/2013
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