Individual
KAYLA MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2205 N WHEELING AVE, MUNCIE, IN 47303-1602
(765) 287-1922
Mailing address
2205 N WHEELING AVE, MUNCIE, IN 47303-1602
(765) 287-1922
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37003239A
IN
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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