Individual
KYLE DENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD, CSO, LDN
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 564-5922
Mailing address
1221 N DEARBORN ST APT 1608N, CHICAGO, IL 60610-8394
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006215
IL
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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