Individual
KAIVON TIMOTHY ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
720 GATEWAY CENTER DR STE B, SAN DIEGO, CA 92102-4549
(619) 264-4100
Mailing address
720 GATEWAY CENTER DR STE B, SAN DIEGO, CA 92102-4549
(619) 264-4100
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
86117143
OK
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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