NPI 1376279513

Kim Shackleford, FNTP

Practitioner Nutritionist Raleigh, NC

Practice location

Address: 3830 Casey Leigh Ln, Raleigh, NC 27612-4258
Phone: (919) 427-5946

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X

Other Nutritionist providers in North Carolina →

Registry record

NPI: 1376279513
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2022
Record last updated: 29 Jul 2022

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.