Individual
KYLIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CD, CDE
Contact information
Practice address
201 W LAYTON PKWY, LAYTON, UT 84041-3692
(801) 543-6089
(801) 543-6064
Mailing address
201 W LAYTON PKWY, LAYTON, UT 84041-3692
(801) 543-6089
(801) 543-6064
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1082011
UT
133V00000X
Registered Dietitian
D-900
ID
Other
Enumeration date
02/16/2016
Last updated
07/27/2025
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