Most Relevant Information
Provider Data
| NPI Number: | 1003220344 |
| Provider Name: | KIMBERLEY BANDELIER R.D., L.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | DT81859 |
Most Important Dates
| Enumeration Date: | 06/15/2014 |
| Last Updated: | 06/15/2014 |
Provider Practice Location
3724 JEFFERSON ST
SUITE 104
AUSTIN
TX
787316225
Practice Location Phone/Fax
| Phone: | 5126937045 |
| Fax: |
Provider Mailing Location
8115 TAHOE PARKE CIR
AUSTIN
TX
787264056
Provider Mailing Phone/Fax
| Phone: | 5127867858 |
| Fax: |