Individual
KIMBERLY MAY CHISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1123 MERCER DR, MARYVILLE, TN 37801-9320
(813) 713-3891
Mailing address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(512) 693-7045
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4347
FL
Other
Enumeration date
10/01/2009
Last updated
06/21/2026
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