Individual
KYLIE ELYSE BOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 517-1410
Mailing address
3333 BURNET AVE # MLC5043, CINCINNATI, OH 45229-3026
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
LD.09451
OH
Other
Enumeration date
06/06/2024
Last updated
07/29/2025
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