Individual
KIMBERLY RENEE FAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 670-6349
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86358
TX
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
01/07/2020
Last updated
01/29/2020
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