Individual
KIMBERLY BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
500 E WALNUT ST, EVANSVILLE, IN 47713-2438
(800) 772-8740
(812) 465-6238
Mailing address
5640 SAINT CHARLES DR, MOUNT VERNON, IN 47620-8324
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
844425
IN
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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