Individual
MRS. KAYLA WALD ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
875 W FARIS RD, GREENVILLE, SC 29605-4254
(864) 455-4041
(864) 455-8447
Mailing address
875 W FARIS RD, GREENVILLE, SC 29605-4254
(864) 455-4041
(864) 455-8447
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
950
SC
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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