Kimberly Eileen Credle in Athens - Dietitian, Registered
Kimberly Eileen Credle - NPI 1154518256
Kimberly Eileen Credle is a Dietitian, Registered in Athens, Georgia. Kimberly Eileen Credle practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Kimberly Eileen Credle is 1154518256. The last update date is 2007-10-02.
Kimberly Eileen Credle's current location address is 1230 Baxter St, Athens, Georgia. You can contact this provider via phone number 7063892150 and fax number 7063892151. The mailing address for Kimberly Eileen Credle is 1230 Baxter St, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Eileen Credle |
|---|---|
| Address | 1230 Baxter St, Athens, Georgia |
| Phone Number | 7063892150 |
| Fax Number | 7063892151 |
| Sole Proprietor | N |
| Credentials | RN, BSN, R |
NPI Number Detail
| NPI Number | 1154518256 |
|---|---|
| Provider Enumeration Date | 2007-10-02 |
| Last Updated Date | 2007-10-02 |
Provider Mailing Address Detail
| Address | 1230 Baxter St |
|---|---|
| City | Athens |
| State | Georgia (GA) |
| Post Code | 306063712 |
| Phone Number | 7063892150 |
| Fax Number | 7063892151 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | LD002413 |
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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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What is the unique 10-digit identifier code assigned to Kimberly Eileen Credle by the Centers for Medicare & Medicaid Services?
The Kimberly Eileen Credle has been issued the NPI (National Provider Identifier) 1154518256 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Kimberly Eileen Credle is physically located?
The Kimberly Eileen Credle is situated at the following address: 1230 Baxter St, Athens, GA 306063712.
What is the Kimberly Eileen Credle's specialty and taxonomy code?
The Kimberly Eileen Credle's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154518256 to Kimberly Eileen Credle?
The Kimberly Eileen Credle received its 1154518256 assignment from the Centers for Medicare & Medicaid Services on 2007-10-02.
As of what date were the details related to Kimberly Eileen Credle most recently updated or revised?
The information pertaining to Kimberly Eileen Credle, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-02.
NPI Number: 1215930425
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