Individual
MS. KIMBERLY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1404 MCKINLEY AVE, LOUISVILLE, KY 40217-2026
(502) 541-1141
Mailing address
1404 MCKINLEY AVE, LOUISVILLE, KY 40217-2026
(502) 541-1141
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
849921
KY
133V00000X
Registered Dietitian
KY-1250
KY
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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