Provider Demographics
NPI:1841358009
Name:SINGLETON, KIMBERLY NICOLE (RD)
Entity type:Individual
Prefix:MISS
First Name:KIMBERLY
Middle Name:NICOLE
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9473 FM 1960 BYPASS RD W STE 300
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4094
Mailing Address - Country:US
Mailing Address - Phone:832-237-3500
Mailing Address - Fax:832-237-0200
Practice Address - Street 1:9473 FM 1960 BYPASS RD W
Practice Address - Street 2:SUITE 300
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4094
Practice Address - Country:US
Practice Address - Phone:832-237-3500
Practice Address - Fax:832-237-0200
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT07405133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered