Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY KINNEAR
Active Sole ProprietorPediatric Nutrition · COLUMBIA, SC
Registration Details
- NPI Number
- 1922414580
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 3, 2014 (11.802850525326 yrs)
- Last Updated
- Jul 3, 2014
- License
-
387 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2000 HAMPTON STCOLUMBIA, SC, 292041002Browse SC providers · Browse ZIP 29204
- Phone
- 8035762764
- 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.