Individual
KIMBERLY KINNEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2764
Mailing address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2764
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
387
SC
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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