Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KIM MARIE VAGT, MS, RD, CDE
Active Sole ProprietorMS. KIM MARIE VAGT, MS, RD, CDE is a Registered Dietitian healthcare provider located in JACKSON, California. NPI 1720384589 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · JACKSON, CA
Registration Details
- NPI Number
- 1720384589
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2011 (15.593553190475 yrs)
- Last Updated
- Jan 26, 2011
- License
-
013949 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 MISSION BLVDJACKSON, CA, 956422564Browse CA providers · Browse ZIP 95642
- Phone
- 2092237430
- Fax
- 2092577634
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in JACKSON, CA
| Name | Credential | NPI |
|---|---|---|
| MARY MICHELLE VANFOSSAN | RD | 1063714517 |
| MAUREEN PATRICIA MOONEY-MICHELS | R.D., C.D.E. | 1497058473 |
| MRS. MORGAN DOMINIQUE KNITTEL | RD | 1467705889 |
| MRS. KELLY SEA | RD | 1669717088 |
| GERALYN DA SILVA | — | 1306245774 |
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.