NPI 1912995457 · live from the CMS NPI Registry
Kimberly D Addison, RD
Dietitian, Registered in Cullman, AL. National Provider Identifier 1912995457, active.
NPI record
| NPI | 1912995457 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1792 Al Highway 157, Cullman, AL 35058 |
| Practice phone | 256-737-2025 |
| Mailing address | 1912 Al Highway 157, Cullman, AL 35058 |
| Enumerated | October 10, 2005 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 621278 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.