Individual
KAYLA BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD-AP, CSP, CNSC
Contact information
Practice address
3601 W 13 MILE RD, 5 SOUTH TOWER NICU, ROYAL OAK, MI 48073-6712
(248) 551-4752
Mailing address
3601 W 13 MILE RD, 5 SOUTH TOWER NICU, ROYAL OAK, MI 48073-6712
(248) 551-4752
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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