Individual
KAYLA WENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433
(763) 780-9155
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4191
MN
Other
Enumeration date
07/24/2019
Last updated
03/15/2021
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