Individual
KIMBERLY MCGILL DOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
739 CHAPPELL DR, RALEIGH, NC 27606-3215
(919) 834-5837
Mailing address
PO BOX 12884, RALEIGH, NC 27605-2884
(919) 880-5760
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L000700
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L000700
LICENSE NUMBER
NC
Enumeration date
01/31/2019
Last updated
01/31/2019
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