# KIERA SULLIVAN NUTRITION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235961855
- **Authorized official:** KIERA SULLIVAN RD (CEO/FOUNDER)
- **Authorized official phone:** (510) 406-4100

## Contact information

- **Practice address:** 171 AVENUE A APT 2B, NEW YORK, NY 10009-4556
- **Practice address phone:** (510) 406-4100
- **Mailing address:** 171 AVENUE A APT 2B, NEW YORK, NY 10009-4556
- **Mailing address phone:** (510) 406-4100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2024
- **Last updated:** 08/14/2024