Kimberly M Otter in Quincy - Dietitian, Registered
Kimberly M Otter - NPI 1245232909
Kimberly M Otter is a Dietitian, Registered in Quincy, Illinois. Kimberly M Otter practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Kimberly M Otter is 1245232909. The last update date is 2007-07-08.
Kimberly M Otter's current location address is 935 Jersey St, Quincy, Illinois. You can contact this provider via phone number 2172282413 and fax number 2172282416. The mailing address for Kimberly M Otter is 935 Jersey St, Quincy, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly M Otter |
|---|---|
| Address | 935 Jersey St, Quincy, Illinois |
| Phone Number | 2172282413 |
| Fax Number | 2172282416 |
| Sole Proprietor | X |
| Credentials | RD LDN |
NPI Number Detail
| NPI Number | 1245232909 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 935 Jersey St |
|---|---|
| City | Quincy |
| State | Illinois (IL) |
| Post Code | 623014030 |
| Phone Number | 2172282413 |
| Fax Number | 2172282416 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 2004029302 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 75113 | IL | QUINCY HEALTH CARE MGMT. | |
| 9329891 | IL | PRIVATE HEALTHCARE SYSTEM | |
| 132009 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Kimberly M Otter's 1245232909?
The Kimberly M Otter's NPI (National Provider Identifier) Number is 1245232909. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kimberly M Otter's facilities are situated?
The facilities of Kimberly M Otter are physically located at the following address: 935 Jersey St, Quincy, IL, 623014030.
What is Kimberly M Otter's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kimberly M Otter is Dietitian, Registered, and the taxonomy code that categorizes this field of expertise is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245232909 to Kimberly M Otter?
The Centers for Medicare & Medicaid Services originally issued the 1245232909 to Kimberly M Otter on 2005-08-12.
As of what date were the Kimberly M Otter's details last updated?
The information pertaining to the Kimberly M Otter, including its address, specialty, and other details, was most recently updated on 2007-07-08.