Ellis, Kimberly M
Ellis, Kimberly M is an individual health care provider with primary practice located at 10257 Sw Village Pkwy Apt 202 , Port Saint Lucie FL 34987-2367. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Ellis, Kimberly M can be contacted via phone (863) 697-0804.Contact Information
Primary practice address
10257 Sw Village Pkwy Apt 202
Port Saint Lucie FL 34987-2367
Phone: (863) 697-0804
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | ND6277 | Florida |
Profile Details
| NPI number | 1215778444 |
|---|---|
| LBN Legal business name | Ellis, Kimberly M |
| Credentials | MS, MPH, RD, LD/N |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2024 |
| Last updated | Jun 9th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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