Individual
KIMBERLY NELL RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
55 LAKE AVE N, UMASS MEMORIAL MEDICAL CENTER - UNIVERSITY CAMPUS, WORCESTER, MA 01655-0002
(774) 441-7820
Mailing address
55 LAKE AVE N, UMASS MEMORIAL MEDICAL CENTER - UNIVERSITY CAMPUS, WORCESTER, MA 01655-0002
(774) 441-7820
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
2883
MA
Other
Enumeration date
05/18/2010
Last updated
09/14/2010
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