Individual
JACKLYN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
500 WESTOVER DR # 19431, SANFORD, NC 27330-8941
(512) 693-7045
Mailing address
10 PROSPECT ST, PO BOX 3, NANUET, NY 10954-7552
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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