Individual
KAYLA MARIE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LMNT
Contact information
Practice address
301 N 27TH ST, NORFOLK, NE 68701-4401
(402) 371-4880
Mailing address
301 N 27TH ST, NORFOLK, NE 68701-4401
(402) 371-4880
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1162
NE
133V00000X
Registered Dietitian
1162
NE
Other
Enumeration date
12/26/2013
Last updated
03/20/2024
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