Individual
KIMBERLY GAYLE FEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
(704) 638-3382
Mailing address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
837643
NC
Other
Enumeration date
04/04/2006
Last updated
07/16/2007
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