IndividualActive
Kimberly Mirsky, MS RD LDN
NPI 1073692307 · Nutritionist · Worcester, MA
Provider details
- NPI number
- 1073692307
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- MS RD LDN
- Sex
- Female
- Sole proprietor
- No
- License
- 364 (MA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
630 Plantation Street
Worcester, MA 01605
Phone: (508) 852-6175
Fax: (508) 595-2941
Approximate (ZIP-level) locationGet directions
Mailing address
630 Plantation St Wot 12th Fl
Worcester, MA 01605
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2009-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.