Wilkerson, Kimberly Garrett
Wilkerson, Kimberly Garrett is an individual health care provider with primary practice located at 3519 Richmond Dr , Fort Collins CO 80526-5995. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wilkerson, Kimberly Garrett can be contacted via phone (970) 204-0300.Contact Information
Primary practice address
3519 Richmond Dr
Fort Collins CO 80526-5995
Phone: (970) 204-0300
Fax: (970) 226-9041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
| NPI number | 1134324619 |
|---|---|
| LBN Legal business name | Wilkerson, Kimberly Garrett |
| Credentials | RD, LD, CDE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2007 |
| Last updated | Feb 28th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134324619 | NPPES |
| Other | 632685 | ADA REGISTERED DIETITIAN | |
| Other | DT80452 | ADA REGISTERED DIETITIAN | |
| Other | 187347 | ADA REGISTERED DIETITIAN |
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