Kimberlee Creech, RD
Individual provider Active NPI Registered Dietitian · North Logan, UT
NPI 1982337465 · NPPES record last updated Jul 2, 2022
Key facts
- NPI
- 1982337465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86079769 (UT)
- Practice address
- 2380 N 400 E
North Logan, UT 84341-6000 - Phone
- (435) 713-9700
- NPI assigned
- Jul 2, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 86079769 | UT | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86079769 | UT | Yes |
Addresses
Primary practice location
2380 N 400 E
North Logan, UT 84341-6000
Mailing address
14611 N 4800 W
Cornish, UT 84308-3007
Phone (435) 770-7341
Other names
- Kimberlee Goodey
Other providers in North Logan, UT
- Dorothy Clayton Cobia
- Skye Cole
- Consulting Outside of the Box a Professional Corporation
- Earnest Cooper Jr.
- Kristin F Craig
- Laura B Creekmore
- Angela Karlina Cronin
- Ashley Anne Crum
- Curtis R. Canning, MD, PC
- Dana Jackson, LCSW, LLC
All providers in North Logan, UT · Registered Dietitian in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2022. 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.