Individual
KIMBERLY KLIETHERMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
1205 VINE ST, FULTON, MO 65251-2308
(573) 694-2177
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2007008650
MO
Other
Enumeration date
01/20/2014
Last updated
01/20/2014
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