Kimberly Ann Russo, MA, RD, LDN

NPI #1083477251 in Trappe, Pennsylvania

Provider Information

NPI Number: 1083477251
Entity Type: Individual
Name: Kimberly Ann Russo, MA, RD, LDN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: MA, RD, LDN
Enumeration Date: Jan 31, 2024
Last Updated: Jan 31, 2024

Practice Location

Address: 180 JOAN DR
City: Trappe
State: Pennsylvania
ZIP Code: 19426-1957
Phone: (610) 304-7174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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