Individual
KIMBERLY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED CNE
Contact information
Practice address
8900 COLUMBIA 100 PKWY, SUITE G, COLUMBIA, MD 21045-2336
(202) 369-1792
Mailing address
4240 COLUMBIA RD, ELLICOTT CITY, MD 21042-5919
(202) 369-1792
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
ZZ
133NN1002X
Nutrition Education Nutritionist
Primary
—
ZZ
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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