Kim Lashawn Reese, REGISTERED DIETITIAN

NPI #1215781216 in Monee, Illinois

Provider Information

NPI Number: 1215781216
Entity Type: Individual
Name: Kim Lashawn Reese, REGISTERED DIETITIAN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: REGISTERED DIETITIAN
Enumeration Date: Apr 16, 2024
Last Updated: Apr 16, 2024

Practice Location

Address: 5405 W MARGARET ST
City: Monee
State: Illinois
ZIP Code: 60449-8087
Phone: (210) 920-1465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist - Nutrition, Education — Nutrition, Education	133NN1002X
Dietitian, Registered - Nutrition, Pediatric — Nutrition, Pediatric	133VN1004X
Dietitian, Registered	133V00000X	Primary
Nutritionist	133N00000X

Additional Practice Locations

4 Clark Dr

Fairview Heights, IL, 62208-1618

(210) 920-1465

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