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Individual

KIMBERLY EVANS MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, RDN

Contact information

Practice address
11000 OPTUM CIR, EDEN PRAIRIE, MN 55344-2503
(763) 910-9149
Mailing address
937 CANYON CREEK, TEMPLE, TX 78681
(254) 774-1600

Taxonomy

Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
DT88043
TX
183500000X
Pharmacist
Primary
55019
TX

Other

Enumeration date
07/24/2014
Last updated
04/22/2026
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