NPI 1770864928 · live from the CMS NPI Registry
Kimbre Johnson, MS, RD, LD
Dietitian, Registered in Hobbs, NM. National Provider Identifier 1770864928, active.
NPI record
| NPI | 1770864928 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2410 N Fowler St, Hobbs, NM 88240 |
| Practice phone | 575-392-2040 |
| Enumerated | September 1, 2011 |
| Last updated | September 1, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LD-0829 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.