Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY MICHELLE CONCRA, LDN
Active Sole ProprietorNutritionist · SOUTH DENNIS, MA
Registration Details
- NPI Number
- 1316789472
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2024 (1.9042046368969 yrs)
- Last Updated
- Jun 10, 2024
- Licenses
-
887 (MA)887 (MA)887 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
902 ROUTE 134BUILDING 1-4SOUTH DENNIS, MA, 02660Browse MA providers · Browse ZIP 02660
- Phone
- 5082585923
- Fax
- 8557107222
- Primary Specialty
-
Nutritionist
133N00000X
- Additional Specialty
- Registered Dietitian
- Additional Specialty
- Nutritionist
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.