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Individual

KIMBERLY DANIELLE CEPHAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-8313
(610) 402-7460
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(610) 402-8313
(610) 402-7460

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004939
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DN004939
PA LICENSE NUMBER
PA
Enumeration date
01/31/2013
Last updated
04/22/2019
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