Individual
KIM A. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N.
Contact information
Practice address
1301 FAYETTEVILLE ST, DURHAM, NC 27707-2325
(919) 956-4000
(919) 682-4257
Mailing address
400 SHEARWATER DR, APT A, DURHAM, NC 27713-9186
(919) 956-4000
(919) 687-4257
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
804540
NC
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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