Individual
KAITLYN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
105 US HIGHWAY 80 E, NUTRITION DEPARTMENT, DEMOPOLIS, AL 36732-3605
(334) 287-2560
Mailing address
105 US HIGHWAY 80 E, NUTRITION DEPARTMENT, DEMOPOLIS, AL 36732-3605
(334) 287-2560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2102T
AL
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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