Individual
KIMBERLY EMMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
14573 BEAVER MARSH RD, MOUNT VERNON, WA 98273-9774
(564) 260-7466
Mailing address
14573 BEAVER MARSH RD, MOUNT VERNON, WA 98273-9774
(564) 260-7466
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001781
WA
Other
Enumeration date
03/11/2015
Last updated
01/30/2026
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