Individual
KIMBERLY BAISHNAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CLS
Contact information
Practice address
110 MCDONALD DR UNIT 122, AMES, IA 50014-3597
(573) 864-9534
Mailing address
110 MCDONALD DR UNIT 122, AMES, IA 50014-3597
(573) 864-9534
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
105136
IA
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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