Provider Demographics
NPI:1407518400
Name:KIHM, ROSE N (FNLP, CND)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:N
Last Name:KIHM
Suffix:
Gender:F
Credentials:FNLP, CND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 TALL OAKS CT
Mailing Address - Street 2:
Mailing Address - City:CENTERTON
Mailing Address - State:AR
Mailing Address - Zip Code:72719-8820
Mailing Address - Country:US
Mailing Address - Phone:913-488-2831
Mailing Address - Fax:
Practice Address - Street 1:641 TALL OAKS CT
Practice Address - Street 2:
Practice Address - City:CENTERTON
Practice Address - State:AR
Practice Address - Zip Code:72719-8820
Practice Address - Country:US
Practice Address - Phone:913-488-2831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No175F00000XOther Service ProvidersNaturopath