Individual
KIMBERLY JO CALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, IBCLC
Contact information
Practice address
3203 W GOLDMINE MOUNTAIN CV, QUEEN CREEK, AZ 85144-3063
(480) 232-0246
Mailing address
3203 W GOLDMINE MOUNTAIN CV, QUEEN CREEK, AZ 85144-3063
(480) 232-0246
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86115695
AZ
174N00000X
Lactation Consultant (Non-RN)
L-163757
AZ
Other
Enumeration date
08/15/2022
Last updated
03/03/2026
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