Individual
KAITLYN WOODYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
182 EASTON DR, SOUTH LYON, MI 48178-1876
(248) 756-1017
Mailing address
182 EASTON DR, SOUTH LYON, MI 48178-1876
(248) 756-1017
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86345894
MI
Other
Enumeration date
04/25/2026
Last updated
04/25/2026
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