Individual
KIMBERLY BILGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD, LD
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 752-3634
Mailing address
18101 SAN MATEO CT, EDMOND, OK 73012-4210
(512) 560-5913
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1932
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932
OKLAHOMA BOARD OF MEDICAL LICENSURE AND SUPERVISION
OK
01
—
942660
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
03/08/2022
Last updated
03/08/2022
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