NPI 1851651269 · live from the CMS NPI Registry
Kimberly Andrulis, RD
Dietitian, Registered in Grand Rapids, MI. National Provider Identifier 1851651269, active.
NPI record
| NPI | 1851651269 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4100 Lake Dr Se, Suite B01, Grand Rapids, MI 49546 |
| Practice phone | 616-267-7400 |
| Mailing address | 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503 |
| Enumerated | May 18, 2012 |
| Last updated | May 18, 2012 |
| 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.