Individual
KIMBERLY B HEINTZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE, CCRC
Contact information
Practice address
169 LAKE PURGATORY DR, DURANGO, CO 81301-9104
(970) 946-3122
Mailing address
169 LAKE PURGATORY DR, DURANGO, CO 81301-9104
(970) 946-3122
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
717603
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000F0766
—
NM
Enumeration date
03/22/2007
Last updated
06/05/2012
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