Individual
KYLEY PAHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
314 FORD AVE, GROVETOWN, GA 30813-2607
(252) 702-0538
Mailing address
314 FORD AVE, GROVETOWN, GA 30813-2607
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006656
GA
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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