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Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYLIE AARON MPPD, RDN, IBCLC (OWNER - PRIVATE PRACTICE)
(480) 415-2084
Entity
Organization

Contact information

Practice address
3929 S. RURAL RD. SUITE 114, TEMPE, AZ 85282
(480) 546-3999
Mailing address
2046 E MINTON DR., TEMPE, AZ 85282
(480) 415-2084
(480) 546-3990

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
174N00000X
Lactation Consultant (Non-RN)
Primary

Other

Enumeration date
09/25/2023
Last updated
09/25/2023
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