Individual
KIMBERLY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CDCES, CEDS-S
Contact information
Practice address
8316 N 177TH AVE, WADDELL, AZ 85355-9352
(623) 202-3098
Mailing address
8316 N 177TH AVE, WADDELL, AZ 85355-9352
(623) 202-3098
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
922652
AZ
Other
Enumeration date
01/30/2014
Last updated
04/05/2022
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