Provider Demographics
NPI:1245655000
Name:ARNOLD, KIMBERLY (RDN, CSOWM)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:RDN, CSOWM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SAVANNAH CT
Mailing Address - Street 2:
Mailing Address - City:RINGOES
Mailing Address - State:NJ
Mailing Address - Zip Code:08551-2061
Mailing Address - Country:US
Mailing Address - Phone:908-271-8549
Mailing Address - Fax:
Practice Address - Street 1:8 SAVANNAH CT
Practice Address - Street 2:
Practice Address - City:RINGOES
Practice Address - State:NJ
Practice Address - Zip Code:08551-2061
Practice Address - Country:US
Practice Address - Phone:908-271-8549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-03
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered