Healthcare Provider Details

I. General information

NPI: 1992611289
Provider Name (Legal Business Name): KIM SOLIZ RDN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 SIMPSON AVE
ATLANTIC HIGHLANDS NJ
07716-1638
US

IV. Provider business mailing address

12 SIMPSON AVE
ATLANTIC HIGHLANDS NJ
07716-1638
US

V. Phone/Fax

Practice location:
  • Phone: 512-743-2336
  • Fax:
Mailing address:
  • Phone: 512-743-2336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KIMBERLY D SOLIZ
Title or Position: REGISTERED DIETITIAN, OWNER
Credential: RDN
Phone: 512-743-2336