Individual
KIMBERLY MAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 830-0220
Mailing address
300 S GRAND BLVD APT 1101, SAINT LOUIS, MO 63103-2442
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86083628
TX
Other
Enumeration date
05/22/2019
Last updated
03/02/2026
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