Individual
MISS KIMBERLY RACHELLE KILPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 772-3199
Mailing address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 772-3199
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1029
MS
133V00000X
Registered Dietitian
LDN0000001901
TN
Other
Enumeration date
03/09/2008
Last updated
03/09/2008
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