Active NPIIndividual provider

Ms. Kimberly G Wallander, RD

Dietitian, Registered in East Providence, Rhode Island

NPI Number1891197711
Practice location
450 Veterans Memorial Pkwy Ste 8C, East Providence, RI 02914-5300
Fax
401-396-9369
Last updated
July 8, 2016

Kimberly G Wallander is a Dietitian, Registered based in East Providence, RI. Kimberly G Wallander practices in East Providence, RI and has the professional credentials of RD. The NPI Number for Kimberly G Wallander is 1891197711 and holds a License No. LDN00797 (RI). The current practice location address for Kimberly G Wallander is 450 Veterans Memorial Pkwy Ste 8C, East Providence, RI 02914-5300 and can be reached out via phone at 401-396-9331 and via fax at 401-396-9369.

Provider Profile Details

NPI Number
1891197711
Provider Name
Kimberly G Wallander
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
450 Veterans Memorial Pkwy Ste 8C, East Providence, RI 02914-5300
Phone Number
401-396-9331
Fax Number
401-396-9369
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Other Names
-- Kimberly A Gustafson, RD (Former Name)
Provider Enumeration Date
September 23, 2014
Last Update Date
July 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
450 Veterans Memorial Pkwy Ste 8C
East Providence, RI 02914-5300
Zip
02914-5300
Phone Number
401-396-9331
Fax Number
401-396-9369
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
450 Veterans Memorial Pkwy Ste 8C
East Providence, RI 02914-5300
City
East Providence
State
RI
Zip
02914-5300
Phone Number
401-396-9331
Fax Number
401-396-9369

License Information

License Number
LDN00797
License State
RI
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Kimberly G Wallander, RD?

The NPI number of Ms. Kimberly G Wallander, RD is 1891197711. It was assigned on September 23, 2014 and is currently active in the NPPES registry.

What is the specialty of Ms. Kimberly G Wallander, RD?

Ms. Kimberly G Wallander, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in RI under license number LDN00797.

Where does Ms. Kimberly G Wallander, RD practice?

The practice location is 450 Veterans Memorial Pkwy Ste 8C, East Providence, RI 02914-5300. The office can be reached at 401-396-9331 (phone) or 401-396-9369 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891197711 directly on the NPPES registry website.

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