Provider Demographics
NPI:1164622262
Name:RUNNING, KIMBERLY THAYER (RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:THAYER
Last Name:RUNNING
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7526
Mailing Address - Country:US
Mailing Address - Phone:972-612-9000
Mailing Address - Fax:972-612-9801
Practice Address - Street 1:2800 W 15TH ST
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7526
Practice Address - Country:US
Practice Address - Phone:972-612-9000
Practice Address - Fax:972-612-9801
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT07231133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered