Individual
MRS. KIMBERLY ANN PEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0985
(602) 933-2423
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
863655
AZ
133VN1004X
Pediatric Nutrition Registered Dietitian
863655
AZ
Other
Enumeration date
04/18/2019
Last updated
07/02/2019
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