Most Relevant Information
Provider Data
| NPI Number: | 1003671082 |
| Provider Name: | MADELINE LUKE KIMBRELL RDN, LD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 2311 |
Most Important Dates
| Enumeration Date: | 02/19/2024 |
| Last Updated: | 02/19/2024 |
Provider Practice Location
4917 GLENMERE RD
NORTH LITTLE ROCK
AR
721166807
Practice Location Phone/Fax
| Phone: | 5015546932 |
| Fax: |
Provider Mailing Location
4917 GLENMERE RD
NORTH LITTLE ROCK
AR
721166807
Provider Mailing Phone/Fax
| Phone: | 5015546932 |
| Fax: |