Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Jo Callow, RDN, IBCLC

Individual provider Registered Dietitian · NPI 1770201931

Kimberly Jo Callow, RDN, IBCLC is a Registered Dietitian OR Nutrition Professional in Queen Creek, Arizona. Qualified in 2015, 11 years ago. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2022
Specialties on file
2
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Practice location Address checks out

3203 W Goldmine Mountain Cv
Queen Creek, AZ 85144-3063
Phone: (480) 232-0246
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86115695 (AZ)
Lactation Consultant (Non-RN) Taxonomy 174N00000X · Licence L-163757 (AZ)

Record details

NPI number1770201931
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , IBCLC
Sole proprietorNo
NPI enumeratedAugust 15, 2022
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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