Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY TICHOTA, RD, CSP, CLC
Active Sole ProprietorPediatric Nutrition · ENGLEWOOD, CO
Registration Details
- NPI Number
- 1134563208
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2013 (13.00833315954 yrs)
- Last Updated
- Apr 19, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
3080 S PEARL STENGLEWOOD, CO, 801131642Browse CO providers · Browse ZIP 80113
- Phone
- 7203554712
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.