Individual
MS. KIMBERLY CAUDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CNSC
Contact information
Practice address
970 RESERVE DR STE 100, ROSEVILLE, CA 95678-1377
(530) 830-2551
(997) 000-7116
Mailing address
9100 SEAVEY LN, LOOMIS, CA 95650-8898
(530) 830-2551
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-4254412
REGISTERED DIETITIAN
—
Enumeration date
05/03/2007
Last updated
05/19/2020
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