Individual
KIMBERLY ILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8300 HEALTH PARK, STE 325, RALEIGH, NC 27615-4730
(919) 870-1001
(919) 516-0673
Mailing address
8300 HEALTH PARK, STE 325, RALEIGH, NC 27615-4730
(919) 870-1001
(919) 516-0673
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R1067307
NC
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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