Individual
KIMBERLY W WALCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
147 SAVAGE FAMILY LN, TEACHEY, NC 28464-5600
(910) 284-9957
Mailing address
147 SAVAGE FAMILY LN, TEACHEY, NC 28464-5600
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L006851
NC
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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