Healthcare Provider Details
I. General information
NPI: 1366304909
Provider Name (Legal Business Name): KJOWERCONSULTING INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1217 PALOMA AVE APT 3
BURLINGAME CA
94010-3456
US
IV. Provider business mailing address
1217 PALOMA AVE APT 3
BURLINGAME CA
94010-3456
US
V. Phone/Fax
- Phone: 650-245-3252
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133N00000X |
| Taxonomy | Nutritionist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133NN1002X |
| Taxonomy | Nutrition Education Nutritionist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
KIMBERLY
ANN
JOWER
Title or Position: CEO
Credential: RD
Phone: 650-245-3252