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Kimberly Caudill, MS, RD, CNSC

Dietitian, Registered in Roseville, CA. Individual provider (NPI-1).

NPI number1356563142
StatusActive
Last updated in NPPESMay 19, 2020

Details

NPI
1356563142
Entity type
Individual (NPI-1)
Name
Ms. Kimberly Caudill
Credential
MS, RD, CNSC
Sex
Female
Sole proprietor
Yes
Enumeration date
May 3, 2007
Certification date
May 19, 2020
Last updated
May 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

970 Reserve Dr Ste 100
Roseville, CA 95678-1377

Phone 530-830-2551 · Fax 997-000-7116

Mailing address

9100 Seavey Ln
Loomis, CA 95650-8898

Phone 530-830-2551

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