Individual
KIMBERLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4213 EL MAR DR APT 4, LAUDERDALE BY THE SEA, FL 33308-5420
(918) 630-1578
Mailing address
4213 EL MAR DR APT 4, LAUDERDALE BY THE SEA, FL 33308-5420
(918) 630-1578
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10842
FL
Other
Enumeration date
05/26/2022
Last updated
06/06/2022
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