MRS. Nichol Michelle Kubiak, RD, CSSD, LMNT

NPI #1982078622 in Ralston, Nebraska

Provider Information

NPI Number: 1982078622
Entity Type: Individual
Name: MRS. Nichol Michelle Kubiak, RD, CSSD, LMNT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD, CSSD, LMNT
Enumeration Date: Nov 18, 2015
Last Updated: Nov 18, 2015

Practice Location

Address: 7305 MAIN ST
City: Ralston
State: Nebraska
ZIP Code: 68127-3913
Phone: (402) 614-5362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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