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Organization

KAYLEEBTHERD,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAYLEE KUSSMANN RD, LDN (REGISTERED DIETITIAN)
(309) 825-0294
Entity
Organization

Contact information

Practice address
7966 KNOTTINGHAM CIR APT B, DARIEN, IL 60561-4995
(309) 825-0294
(309) 825-0294
Mailing address
7966 KNOTTINGHAM CIR APT B, DARIEN, IL 60561-4995
(309) 825-0294
(309) 825-0294

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
10/06/2025
Last updated
10/06/2025
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