Individual
MRS. KIM THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.,CDE
Contact information
Practice address
1020 S STATE HIGHWAY 16, FREDERICKSBURG, TX 78624-4471
(830) 997-1355
(830) 997-1397
Mailing address
1020 S STATE HIGHWAY 16, FREDERICKSBURG, TX 78624-4471
(830) 997-1355
(830) 997-1397
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT03081
TX
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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