Individual
KIM MENNEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
405 SPUD LN, FLORENCE, SC 29505-5133
(330) 417-0698
Mailing address
405 SPUD LN, FLORENCE, SC 29505-5133
(330) 417-0698
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2586
SC
Other
Enumeration date
07/28/2022
Last updated
03/20/2025
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