Individual
KENNIDY P TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
208 VIA FIESTA, NEWBURY PARK, CA 91320-6832
(805) 657-9196
Mailing address
208 VIA FIESTA, NEWBURY PARK, CA 91320-6832
(805) 657-9196
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86415303
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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