Individual
KIMBERLY KAZMERSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,LD,CSP,CNSD
Contact information
Practice address
1122 N DEARBORN ST, UNIT 15 I, CHICAGO, IL 60610-5057
(312) 643-0812
Mailing address
1122 N DEARBORN ST, UNIT 15 I, CHICAGO, IL 60610-5057
(312) 643-0812
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.000732
IL
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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