Individual
KIMBERLY MARIE GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN LD
Contact information
Practice address
8100 E 22ND ST N STE D, WICHITA, KS 67226-2388
(316) 630-8243
Mailing address
8100 E 22ND ST N STE D, WICHITA, KS 67226-2388
(316) 630-8243
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
KS
Other
Enumeration date
04/25/2022
Last updated
05/12/2022
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