Healthcare Provider Details

I. General information

NPI: 1659332260
Provider Name (Legal Business Name): KIMBERLY ANNE ARCHER RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLY ANNE LINDNER

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 S AVENUE A
YUMA AZ
85364-7127
US

IV. Provider business mailing address

3443 W 15TH ST
YUMA AZ
85364-4172
US

V. Phone/Fax

Practice location:
  • Phone: 928-336-7389
  • Fax:
Mailing address:
  • Phone: 928-373-9521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: