Individual
MRS. KIM C CARR - FREMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/RD/LD
Contact information
Practice address
8446 PAGE AVE, SAINT LOUIS, MO 63130-1055
(800) 544-3059
(314) 423-9825
Mailing address
8446 PAGE AVE, SAINT LOUIS, MO 63130-1055
(800) 544-3059
(314) 423-9825
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.002637
IL
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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