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Kimberly Davis Branch, LDN, RD

Dietitian, Registered in Minden, LA. Individual provider (NPI-1).

NPI number1154912970
StatusActive
Last updated in NPPESFeb 3, 2021

Details

NPI
1154912970
Entity type
Individual (NPI-1)
Name
Mrs. Kimberly Davis Branch
Credential
LDN, RD
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 3, 2021
Certification date
Feb 3, 2021
Last updated
Feb 3, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered1405LAYes

Practice location

1102 Madison Ave
Minden, LA 71055-2328

Phone 318-518-3721

Mailing address

1102 Madison Ave
Minden, LA 71055-2328

Phone 318-518-3721

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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