Individual
MRS. KIMBERLY JO SHAHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9001 W 130TH ST, N ROYALTON, OH 44133-1011
(440) 237-3104
Mailing address
9001 W 130TH ST, NORTH ROYALTON, OH 44133-1011
(440) 237-3104
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
819540
OH
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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