Provider Demographics
NPI:1609682376
Name:MURRAY, KIMBERLY (RDN)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:663 CLARENDON DR
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-9087
Mailing Address - Country:US
Mailing Address - Phone:317-331-9070
Mailing Address - Fax:
Practice Address - Street 1:663 CLARENDON DR
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062-9087
Practice Address - Country:US
Practice Address - Phone:317-331-9070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN37003787A133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered