Individual provider · Type 1 NPI

Jacklyn Kim, RDN, CDN

Registered Dietitian · Sanford, NC

NPI number 1649111345 Active

Practice location

500 Westover Dr # 19431
Sanford, NC 27330-8941

Mailing address

10 Prospect St, PO Box 3
Nanuet, NY 10954-7552

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1649111345

Jacklyn Kim, RDN, CDN's National Provider Identifier is 1649111345, issued on Apr 6, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Sanford, NC. The record was last updated on Apr 6, 2026.