Organization
PIVOT NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA E KILCLINE MS, RD, LDN (OWNER, REGISTERED DIETITIAN)
(401) 575-1885
Entity
Organization
Contact information
Practice address
145 ELMGROVE AVE, PROVIDENCE, RI 02906-4230
(401) 575-1885
Mailing address
145 ELMGROVE AVE, PROVIDENCE, RI 02906-4230
(401) 575-1885
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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