Individual
MS. KAILEIGH M PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI1186
ME
133V00000X
Registered Dietitian
TD1145
ME
Other
Enumeration date
01/14/2013
Last updated
07/06/2018
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