Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KIM SHACKLEFORD, FNTP
Active Sole ProprietorMS. KIM SHACKLEFORD, FNTP is a Nutritionist healthcare provider located in RALEIGH, North Carolina. NPI 1376279513 is currently active in the NPPES registry. Verify at CMS.
Nutritionist · RALEIGH, NC
Registration Details
- NPI Number
- 1376279513
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 29, 2022 (4.0825778963505 yrs)
- Last Updated
- Jul 29, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
3830 CASEY LEIGH LNRALEIGH, NC, 276124258Browse NC providers · Browse ZIP 27612
- Phone
- 9194275946
- Primary Specialty
-
Nutritionist
133N00000X
Other Nutritionist Providers in RALEIGH, NC
| Name | Credential | NPI |
|---|---|---|
| DR. KAREN THOMAS | DHA, MS HNFM, RDH BS | 1396282273 |
| MR. BARRY BRAGG | CN | 1962978403 |
| MR. BARRY WAYNE SENERI JR. | CN | 1295201614 |
| LAURA BAUM | — | 1417509159 |
| SHARON PRICE | — | 1164050894 |
| KATHERINE BROWN | RDN | 1982202982 |
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.