Individual
MS. KIMBERLY R JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Mailing address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1020228
CO
133V00000X
Registered Dietitian
LD-0824
NM
Other
Enumeration date
12/03/2012
Last updated
12/27/2016
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