Individual
MRS. KIMBERLY MARIE CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
312 PINE RIDGE PT, PETAL, MS 39465-4241
(601) 248-1687
(888) 820-5115
Mailing address
312 PINE RIDGE PT, PETAL, MS 39465-4241
(601) 248-1687
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
123431
KY
133V00000X
Registered Dietitian
1557
AL
133V00000X
Registered Dietitian
1778
KS
133V00000X
Registered Dietitian
2080
LA
133V00000X
Registered Dietitian
2081
OK
133V00000X
Registered Dietitian
3100-29
WI
133V00000X
Registered Dietitian
663
SC
133V00000X
Registered Dietitian
807390
—
133V00000X
Registered Dietitian
877
WV
133V00000X
Registered Dietitian
D-1067
ID
133V00000X
Registered Dietitian
Primary
D0958
MS
133V00000X
Registered Dietitian
DII00000537
DC
133V00000X
Registered Dietitian
DN004869
PA
133V00000X
Registered Dietitian
LD-1282
NM
133V00000X
Registered Dietitian
LDN0000001995
TN
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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