Individual provider · NPI-1

Kim Gorman, MS, RD

Dietitian, Registered · Broomfield, CO

NPI number1902137185
StatusActive
Last updated in NPPESJan 27, 2010

Details

NPI
1902137185
Entity type
Individual (NPI-1)
Name
Kim Gorman
Credential
MS, RD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 27, 2010
Last updated
Jan 27, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

1122 Northmoor Dr
Broomfield, CO 80020-1462

Phone 303-284-8896

Mailing address

1122 Northmoor Dr
Broomfield, CO 80020-1462

Phone 303-284-8896

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