Individual
MRS. KIMBERLY BETH MINOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
148 CHESTNUT ST, NEEDHAM, MA 02492-2505
(781) 453-3016
(781) 453-3654
Mailing address
2 WHALEN RD, HOPKINTON, MA 01748-1710
(781) 724-9359
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2088
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
469408
TUFTS
MA
01
—
AA15809
HARVARD PILGRIM
MA
01
—
LD0145
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/18/2008
Last updated
11/20/2017
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