Individual
KYLA SCHEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD, CEDS, CPT
Contact information
Practice address
4758 BROOMFIELD WAY, LAKE ORION, MI 48359-1956
(248) 766-9627
Mailing address
4758 BROOMFIELD WAY, LAKE ORION, MI 48359-1956
(248) 766-9627
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86084767
MI
133V00000X
Registered Dietitian
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
12/16/2018
Last updated
06/01/2022
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