Individual
KIMBERLY DUFFY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD, CPT
Contact information
Practice address
3492 SAVANNAH AVE, WHITE BEAR LAKE, MN 55110-4579
(651) 485-6761
Mailing address
3492 SAVANNAH AVE, WHITE BEAR LAKE, MN 55110-4579
(651) 485-6761
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2389
MN
Other
Enumeration date
06/21/2022
Last updated
11/19/2025
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