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Individual

LEAH SIMPSON KINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4596
(410) 578-8600
Mailing address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4596
(410) 578-8600

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX3168
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DX3168
MARYLAND BOARD OF DIETETIC PRACTICE
MD
Enumeration date
08/05/2014
Last updated
04/18/2023
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