Most Relevant Information
Provider Data
| NPI Number: | 1003484106 |
| Provider Name: | KIMBERLY HALL RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 61107593 |
Most Important Dates
| Enumeration Date: | 06/15/2021 |
| Last Updated: | 08/18/2021 |
Provider Practice Location
1001 COLOROSSI CIR NW
ORTING
WA
983607000
Practice Location Phone/Fax
| Phone: | 2694913464 |
| Fax: |
Provider Mailing Location
1001 COLOROSSI CIR NW
ORTING
WA
983607000
Provider Mailing Phone/Fax
| Phone: | 2694913464 |
| Fax: |