Individual
MRS. LAURA KIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
410 N ANKENY BLVD, ANKENY, IA 50023-1753
(515) 964-0900
Mailing address
410 N ANKENY BLVD, ANKENY, IA 50023-1753
(515) 964-0900
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001975
IA
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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