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Kim Marie Leidner, MSRD, CDE

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

NPI number1790853745
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1790853745
Entity type
Individual (NPI-1)
Name
Mrs. Kim Marie Leidner
Credential
MSRD, CDE
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 30, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered806597ILYes

Practice location

986 Sunrise Hwy
West Babylon, NY 11704-6111

Phone 631-587-6060 · Fax 631-587-1364

Mailing address

34 Stratford Ave
Greenlawn, NY 11740-2519

Phone 631-368-3706 · Fax 631-368-1027

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Other Registered Dietitian providers in West Babylon, NY

All 6 Registered Dietitian providers in West Babylon · All 706 providers in West Babylon

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