NPI 1376829713 · live from the CMS NPI Registry
Kimberly Handley, RD,CDE
Dietitian, Registered in Gillette, WY. National Provider Identifier 1376829713, active.
NPI record
| NPI | 1376829713 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 501 S Burma Ave, 3s-Internal Medicine, Gillette, WY 82716 |
| Practice phone | 307-688-3636 |
| Mailing address | 7861 Robin Dr, Gillette, WY 82718 |
| Enumerated | October 31, 2011 |
| Last updated | October 31, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.