Individual
KIMBERLY ANN DEIHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
115 10TH AVE NE, DEER RIVER, MN 56636-8795
(218) 246-2900
Mailing address
SSB-5, 400 E 3RD STREET, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1430
MN
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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