Kimberley Bandelier, R.D., L.D.
Dietitian, Registered in Austin, TX. Individual provider (NPI-1).
NPI number1003220344
StatusActive
Last updated in NPPESJun 15, 2014
Details
- NPI
- 1003220344
- Entity type
- Individual (NPI-1)
- Name
- Kimberley Bandelier
- Credential
- R.D., L.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 15, 2014
- Last updated
- Jun 15, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT81859 | TX | Yes |
Practice location
3724 Jefferson StSuite 104
Austin, TX 78731-6225
Phone 512-693-7045
Mailing address
8115 Tahoe Parke CirAustin, TX 78726-4056
Phone 512-786-7858
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