Kimberly Sue Hallett, RD, LD
Individual provider Active NPI Registered Dietitian · Oak Harbor, OH
NPI 1659412674 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1659412674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 4725 (OH)
- Practice address
- 256 S Gordon Dr
Oak Harbor, OH 43449-1541 - Phone
- (419) 898-8098
- NPI assigned
- Feb 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 4725 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firelands Regional Medical Center | Past | Accepting new patients | |
| Hallett Enterprises, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 4725 | OH | Yes |
Addresses
Primary practice location
256 S Gordon Dr
Oak Harbor, OH 43449-1541
Mailing address
256 S Gordon Dr
Oak Harbor, OH 43449-1541
Phone (419) 898-8098
Other providers in Oak Harbor, OH
- Great Scot Inc
- Stacy Grieger
- Guiding Hands Home Health Services, Inc.
- Guiding Hands Home Health Services,Inc.
- Hallett Enterprises, LLC
- Tracy Hammer
- Caitlyn Harvey
- Crystal Lynn Heineman
- Jennifer McKenzie Henry
- Erin Rae Henson
All providers in Oak Harbor, OH · Registered Dietitian in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.