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NPI Code Detail

MEDICARE: KIMBERLEY SHERI MILES MS, RDN, LDN

MEDICARE: KIMBERLEY SHERI MILES MS, RDN, LDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian3143LA

General Provider Information

NPI Number : 1013871680
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLEY SHERI MILES MS, RDN, LDN
Provider Business Mailing Address
First Line : 3724 JEFFERSON ST STE 104
Second Line :
City : AUSTIN
State : TX
Zip : 78731-6204
Country : US
Telephone Number : 318-243-4404
Fax Number :
Provider Business Practice Location Address
First Line : 3724 JEFFERSON ST STE 104
Second Line :
City : AUSTIN
State : TX
Zip : 78731-6204
Country : US
Telephone Number : 318-243-4404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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