Individual
MS. KIMBERLY A EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017597
—
VT
Enumeration date
09/28/2007
Last updated
03/21/2024
Update your record
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