Individual
MS. KIMBERLY LOUISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.L.D.,CDE
Contact information
Practice address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 362-6608
(218) 362-6617
Mailing address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 362-6608
(218) 362-6617
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1748
MN
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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