Wilson, Kimberley Mae

Wilson, Kimberley Mae is an sole proprietor health care provider with primary practice located at 1933 Haviland Dr , Virginia Beach VA 23454-6704. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Wilson, Kimberley Mae can be contacted via phone (302) 465-3066.

Contact Information

Primary practice address
1933 Haviland Dr Virginia Beach VA 23454-6704
Phone: (302) 465-3066
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 86100729 Virginia
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 86100729 Virginia
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86100729 Virginia

Profile Details

NPI number 1104579069
LBN Legal business name Wilson, Kimberley Mae
Credentials RDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2022
Last updated Aug 24th, 2023 - about 2 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.

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