Kimberly Marie Wyman, MPH, RD is a
Dietitian, Registered based in Agoura, California. Kimberly Marie Wyman is licensed to practice in * (Not Available) (license number ) and her current practice location is
28910 Crags Dr, Agoura, California. She can be reached at her office (for appointments etc.) via phone at
(310) 918-6640.
NPI number for Kimberly Marie Wyman is 1215552211 and her current mailing address is 28910 Crags Dr, Agoura, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215552211.
Healthcare Provider's Profile
| Full Name | Kimberly Marie Wyman |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 28910 Crags Dr, Agoura, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1215552211
- Provider Enumeration Date: 06/15/2020
- Last Update Date: 06/15/2020
Medical Identifiers
Medical identifiers for Kimberly Marie Wyman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215552211 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Marie Wyman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly Marie Wyman, MPH, RD
28910 Crags Dr,
Agoura, CA 91301-2906
Ph: (310) 918-6640 | Kimberly Marie Wyman, MPH, RD
28910 Crags Dr,
Agoura, CA 91301-2906
Ph: (310) 918-6640 |
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