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NPI Code Detail

MEDICARE: KIMBERLY ANN PFEIFER MS, RD, LMNT

MEDICARE: KIMBERLY ANN PFEIFER MS, RD, LMNT
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 Dietitian1141NE

General Provider Information

NPI Number : 1720579220
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANN PFEIFER MS, RD, LMNT
Provider Business Mailing Address
First Line : 2260 CIRCLE DR
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-3040
Country : US
Telephone Number : 402-910-9168
Fax Number :
Provider Business Practice Location Address
First Line : 706 EWING ST
Second Line :
City : GENOA
State : NE
Zip : 68640-3035
Country : US
Telephone Number : 402-993-2283
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2018
Last Update Date : 05/21/2018

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Directions to “ KIMBERLY ANN PFEIFER MS, RD, LMNT” Practice Location

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