Individual
KIMBERLY ANNE ARCHER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 336-7389
Mailing address
3443 W 15TH ST, YUMA, AZ 85364-4172
(928) 373-9521
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
898702
—
AZ
01
—
P00253759
RAILROAD MEDICARE
AZ
Enumeration date
03/31/2006
Last updated
07/08/2007
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