National Provider Identifier
Nicole Kmicinski, RD, CDN
Nicole Kmicinski, RD, CDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Buffalo, NY and a listed phone number of (716) 431-5100.
Profile Overview
- NPI
- 1093193468
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- May 18, 2015
- Last Updated
- July 06, 2023
Practice Location
- 742 Delaware Ave
- Buffalo, NY 14209-2202
Phone: (716) 431-5100
Specialties
- Registered Dietitian (133V00000X)
- Health Educator (174H00000X)
Full Record
- NPI
- 1093193468
- Entity Type
- Individual
- Last Name
- Kmicinski
- First Name
- Nicole
- Credential
- RD, CDN
- Mailing Street Address
- 742 Delaware Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-2202
- Mailing Country
- US
- Mailing Phone
- (716) 431-5100
- Mailing Fax
- (844) 620-0739
- Practice Street Address
- 742 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-2202
- Practice Country
- US
- Practice Phone
- (716) 431-5100
- Enumeration Date
- May 18, 2015
- Last Updated
- July 06, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 06, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X), Health Educator (174H00000X)