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Individual

KIMBERLY K LARUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1230 N 30TH ST, SUITE 200, BILLINGS, MT 59101-0128
(406) 237-4280
(406) 237-4285
Mailing address
1230 N 30TH ST, SUITE 200, BILLINGS, MT 59101-0128
(406) 237-4280
(406) 237-4285

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
248
MT
133V00000X
Registered Dietitian
Primary
248
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
248
MONTANA LICENSE
MT
Enumeration date
02/09/2012
Last updated
02/09/2012
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