Individual
KAITLYN PAULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LMNT
Contact information
Practice address
1941 S 42ND ST RM 215-26, OMAHA, NE 68105-2939
(402) 599-2174
Mailing address
1941 S 42ND ST RM 215-26, OMAHA, NE 68105-2939
(402) 599-2174
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86208691
NE
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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