Individual
MS. KIMBERLY A EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
117 KENDRICK ST STE 300, NEEDHAM, MA 02494-2722
(802) 391-9076
(802) 503-0556
Mailing address
220 NARRAGANSETT AVE, RIVERSIDE, RI 02915-5608
(802) 391-9076
(802) 503-0556
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
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