Individual
MS. KIMBERLY DIANE PURIFOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
8355 CRESTWAY DR, APT. 733, CONVERSE, TX 78109-3586
(501) 908-7270
Mailing address
8355 CRESTWAY DR, APT. 733, CONVERSE, TX 78109-3586
(501) 908-7270
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80685
TX
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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