Individual
NICOLE ELAINE KAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(503) 913-6620
(512) 399-9039
Mailing address
12070 SE BLUFF DR, CLACKAMAS, OR 97015-7269
(503) 913-6620
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10254350
OR
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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