NPI 1194054098 · live from the CMS NPI Registry
Kimberly Blair, RD, CD
Dietitian, Registered in Evansville, IN. National Provider Identifier 1194054098, active.
NPI record
| NPI | 1194054098 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 500 E Walnut St, Evansville, IN 47713 |
| Practice phone | 800-772-8740 |
| Mailing address | 5640 Saint Charles Dr, Mount Vernon, IN 47620 |
| Enumerated | December 24, 2009 |
| Last updated | December 24, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 844425 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.