Individual
KIMBERLY SUE HALLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
256 S GORDON DR, OAK HARBOR, OH 43449-1541
(419) 898-8098
Mailing address
256 S GORDON DR, OAK HARBOR, OH 43449-1541
(419) 898-8098
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4725
OH
Other
Enumeration date
02/11/2007
Last updated
07/08/2007
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