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Contact Information

KIMBERLY E CREDLE, RN, BSN, RD, LD
1230 BAXTER ST
ATHENS, GA30606-3712
 Phone: 706-389-2150
 Fax: 706-389-2151
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KIMBERLY E CREDLE · (Female)

NPI Number 1154518256
Status Active
Credentials RN, BSN, RD, LD
Entity Individual
Enumeration date 10/02/2007
Last updated 10/02/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • GA License # LD002413
  • GA License # RN185977
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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