Individual
CLAIRE MALLOY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
2408 TEMPLE CT W, WEST LAFAYETTE, IN 47906-6825
(765) 237-9324
Mailing address
2408 TEMPLE CT W, WEST LAFAYETTE, IN 47906-6825
(765) 237-9324
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37003214A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86173803
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
07/28/2020
Last updated
06/25/2024
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