Mcdevitt, Kimberly Cleaves Devine

Mcdevitt, Kimberly Cleaves Devine is an sole proprietor health care provider with primary practice located at 12 E Darrah Ln , Lawrence Township NJ 08648-3716. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Nutrition, Pediatric is her primary health care specialty. Mcdevitt, Kimberly Cleaves Devine can be contacted via phone (443) 310-4456.

Contact Information

Primary practice address
12 E Darrah Ln Lawrence Township NJ 08648-3716
Phone: (443) 310-4456
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86007483 Michigan
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 86007483 Michigan

Profile Details

NPI number 1831631340
LBN Legal business name Mcdevitt, Kimberly Cleaves Devine
Credentials MPH R.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2016
Last updated Nov 15th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831631340 NPPES
New Jersey Other 86007483 ACADEMY OF NUTRITION AND DIETETICS

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