Individual
KIMBERLY ANN JUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PIN OAK LN, KEYSER, WV 26726-5908
(304) 597-3500
Mailing address
PO BOX 1326, KEYSER, WV 26726-1326
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1258
WV
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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