Kimberly Davis Branch, LDN, RD
Individual provider Active NPI Registered Dietitian · Minden, LA
NPI 1154912970 · NPPES record last updated Feb 3, 2021
Key facts
- NPI
- 1154912970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1405 (LA)
- Practice address
- 1102 Madison Ave
Minden, LA 71055-2328 - Phone
- (318) 518-3721
- NPI assigned
- Feb 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1405 | LA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1405 | LA | Yes |
Addresses
Primary practice location
1102 Madison Ave
Minden, LA 71055-2328
Mailing address
1102 Madison Ave
Minden, LA 71055-2328
Phone (318) 518-3721
Other providers in Minden, LA
- Andrea Natalie Blake-McMahon
- Dean Boelter
- Bolger Family Medicine, Inc
- Joseph E Bolger
- Stefanie T Bond
- Susan Paige Breard
- Brighter Future Counseling Services, LLC
- Brighter Tomorrows, Inc.
- Lakeshia Brooks
- Alice Brown
All providers in Minden, LA · Registered Dietitian in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.