Individual
KIMBERLY M HAGENBUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CDCES
Contact information
Practice address
183 LOG POND DR, HORSHAM, PA 19044-1978
(215) 813-5702
Mailing address
183 LOG POND DR, HORSHAM, PA 19044-1978
(215) 813-5702
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003575
PA
Other
Enumeration date
03/17/2008
Last updated
01/26/2021
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