Individual
MS. KIMBERLY WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LD
Contact information
Practice address
510 W UNION ST, ATHENS, OH 45701-2331
(800) 358-8262
(740) 593-3743
Mailing address
510 W UNION ST, ATHENS, OH 45701-2331
(800) 358-8262
(740) 593-3743
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6370
OH
Other
Enumeration date
02/21/2008
Last updated
05/08/2013
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