Individual
COURTNEY KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
1761 N WILLAMETTE RD, LIBERTY LAKE, WA 99016-5058
(509) 671-2462
Mailing address
1761 N WILLAMETTE RD, LIBERTY LAKE, WA 99016-5058
(509) 671-2462
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
61141161
WA
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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