Individual
MRS. KAYLA M MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
323 DOE RUN COURT, PIKE ROAD, AL 36064
(334) 590-6208
Mailing address
323 DOE RUN COURT, PIKE ROAD, AL 36064
(334) 590-6208
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2065
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2065
REGISTERED DIETITIAN
AL
Enumeration date
08/31/2022
Last updated
08/31/2022
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