Individual
MRS. KIMBERLY CLEAVES DEVINE MCDEVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH R.D.
Contact information
Practice address
12 E DARRAH LN, LAWRENCE TOWNSHIP, NJ 08648-3716
(443) 310-4456
Mailing address
12 E DARRAH LN, LAWRENCE TOWNSHIP, NJ 08648-3716
(443) 310-4456
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86007483
MI
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
86007483
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86007483
ACADEMY OF NUTRITION AND DIETETICS
NJ
Enumeration date
11/15/2016
Last updated
11/15/2016
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