Individual
KIMBERLY JO SCHUMACHER TEGENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-5805
Mailing address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-5805
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005226
IL
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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