Individual
MISS KAITLIN WILK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1212 MANN DR STE 100, MATTHEWS, NC 28105-5511
(704) 584-9897
Mailing address
28 BRIGHT ST UNIT 507, JERSEY CITY, NJ 07302-4766
(845) 774-9947
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/23/2017
Last updated
02/13/2025
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