Individual
KAYLEN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 SW 2ND TER, DANIA, FL 33004-3511
(954) 821-2940
Mailing address
709 SW 2ND TER, DANIA, FL 33004-3511
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
14618
FL
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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