National Provider Identifier
Kimberlea N Gibbs, MPH, RDN, LD
Kimberlea N Gibbs, MPH, RDN, LD is listed in the NPPES registry with a primary specialty of Registered Dietitian in Ithaca, NY and a listed phone number of (202) 758-8652.
Profile Overview
- NPI
- 1235935859
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- February 24, 2025
- Last Updated
- February 24, 2025
Practice Location
- 1117 E Pointe Dr
- Ithaca, NY 14850-1171
Phone: (202) 758-8652
Mailing Address
- 8401 Maryland Dr. St. A
- Richmond, VA 23294
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1235935859
- Entity Type
- Individual
- Last Name
- Gibbs
- First Name
- Kimberlea
- Middle Name
- N
- Credential
- MPH, RDN, LD
- Mailing Street Address
- 8401 Maryland Dr. St. A
- Mailing City
- Richmond
- Mailing State
- VA
- Mailing ZIP Code
- 23294
- Mailing Country
- US
- Mailing Phone
- (202) 758-8652
- Practice Street Address
- 1117 E Pointe Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1171
- Practice Country
- US
- Practice Phone
- (202) 758-8652
- Enumeration Date
- February 24, 2025
- Last Updated
- February 24, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 18, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)