Individual
MRS. KIMBERLY LYNN PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4035 MOUNT VERNON RD SE, CEDAR RAPIDS, IA 52403-3801
(319) 365-4623
Mailing address
4035 MOUNT VERNON RD SE, CEDAR RAPIDS, IA 52403-3801
(319) 365-4623
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01478
IA
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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