Organization
KIM RILEY NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RILEY RD, CDE, LDN (CEO)
(941) 800-5565
Entity
Organization
Contact information
Practice address
312 E VENICE AVE STE 208, VENICE, FL 34285-4621
(941) 800-5565
(941) 275-6340
Mailing address
6146 100TH AVE E, PARRISH, FL 34219-4557
(551) 265-8405
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
08/17/2021
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