Individual
KIMBERLY LYNN BOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LMNT, LD, CNSC
Contact information
Practice address
1969 EVERGREEN AVE, RED OAK, IA 51566-4464
(712) 326-5722
Mailing address
1969 EVERGREEN AVE, RED OAK, IA 51566-4464
(712) 326-5722
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01583
IA
133V00000X
Registered Dietitian
601
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01583
LICENSED DIETITIAN
IA
01
—
601
MEDICAL NUTRITION THERAPIST
NE
01
—
898982
REGISTERED DIETITIAN
IA
Enumeration date
12/06/2011
Last updated
12/06/2011
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