Individual
KIMBERLY KUCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
13400 EDGEMEADE RD, UPPER MARLBORO, MD 20772-8088
(215) 964-1657
Mailing address
7106 LADYSLIPPER LN, UPPER MARLBORO, MD 20772-6328
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D02227
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D02227
COMMERICAL INSURANCE
MD
Enumeration date
08/14/2017
Last updated
03/17/2018
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