Individual
KELLEY C KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
575 E LOCUST AVE STE 202, FRESNO, CA 93720-2928
(559) 242-6464
Mailing address
575 E LOCUST AVE STE 202, FRESNO, CA 93720-2928
(559) 242-6464
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
963781
CA
Other
Enumeration date
06/17/2010
Last updated
02/25/2022
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