Individual
MRS. KIMBERLY ANN HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1230 BAXTER ST, FOOD AND NUTRITION SERVICES, ATHENS, GA 30606-3712
(706) 389-3669
(706) 389-3670
Mailing address
1061 PLEASANT HILL RD, WATKINSVILLE, GA 30677-5902
(770) 725-7783
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
178
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71BBBGL
MEDICARE PIN
GA
Enumeration date
10/25/2006
Last updated
07/08/2007
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