Individual
KAYLA MARIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
475 SPRING LN, PHILADELPHIA, PA 19128-3918
(609) 638-1438
Mailing address
3734 SWETLAND DR, DOYLESTOWN, PA 18902-9082
(609) 638-1438
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86089156
—
133V00000X
Registered Dietitian
DN006388
PA
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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