NPI 1134654759

Kimberly Johnson, RD

Practitioner Registered Dietitian Bozeman, MT

Practice location

Address: 110 E College St, Bozeman, MT 59715-5318
Phone: (229) 560-8807
Mailing address: PO Box 73, Bozeman, MT 59771

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence MED-NUTR-LIC-52164 (MT)

Other Dietitian, Registered providers in Montana →

Registry record

NPI: 1134654759
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Apr 2017
Record last updated: 21 Apr 2017

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.