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Kimberly Wilson, R.D.

Dietitian, Registered in Valhalla, NY. Individual provider (NPI-1).

NPI number1003138363
StatusActive
Last updated in NPPESApr 1, 2015

Details

NPI
1003138363
Entity type
Individual (NPI-1)
Name
Kimberly Wilson
Credential
R.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 26, 2010
Last updated
Apr 1, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

100 Woods Rd
Valhalla, NY 10595-1530

Phone 914-493-7664

Mailing address

100 Woods Rd
Valhalla, NY 10595-1530

Phone 914-493-7664

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