Individual
MRS. KIMBERLY GAIL CLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
210A BURLEY AVENUE, HOPKINSVILLE, KY 42240
(270) 889-0282
(270) 887-8340
Mailing address
545 EVERETT LN, HOPKINSVILLE, KY 42240-9520
(270) 886-3494
(270) 707-0780
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0548
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0548
LICENSE #
KY
01
—
708255
DIETETIC REGISTRATION #
—
Enumeration date
09/13/2006
Last updated
07/09/2007
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