MRS. Kim Marie Leidner, MSRD, CDE
NPI #1790853745 in West Babylon, New York
Provider Information
- NPI Number
- 1790853745
- Entity Type
- Individual
- Name
- MRS. Kim Marie Leidner, MSRD, CDE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- MSRD, CDE
- Enumeration Date
- Nov 30, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 986 SUNRISE HWY
- City
- West Babylon
- State
- New York
- ZIP Code
- 11704-6111
- Phone
- (631) 587-6060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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