Individual
MR. SCOTT RYAN KIMMELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RDN
Contact information
Practice address
721 N POINT DR, GRAYLING, MI 49738-8923
(720) 219-3503
Mailing address
721 N POINT DR, GRAYLING, MI 49738-8923
(720) 219-3503
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86155620
—
Other
Enumeration date
04/12/2025
Last updated
04/12/2025
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