Individual
MS. JANET KIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-3258
(573) 815-6414
Mailing address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-3258
(573) 815-6414
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
2002025461
MO
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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