NPI 1003220344

Kimberley Bandelier, RDLD

Practitioner Registered Dietitian Austin, TX

Practice location

Address: 3724 Jefferson St Suite 104, Austin, TX 78731-6225
Phone: (512) 693-7045
Mailing address: 8115 Tahoe Parke Cir, Austin, TX 78726-4056

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence DT81859 (TX)

Other Dietitian, Registered providers in Texas →

Registry record

NPI: 1003220344
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2014
Record last updated: 15 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.