Individual
KIM OBERIST MILANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1650 COCHRANE CIR # B7500, FORT CARSON, CO 80913-4603
(719) 526-7968
Mailing address
3 SAINT LO CIR, FORT CARSON, CO 80913-1712
(719) 559-5140
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
R595056
—
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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