Individual
KAYLA BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
128 ELWOOD AVE, HUNTINGTON, WV 25705-2711
(304) 416-3308
(304) 399-1293
Mailing address
128 ELWOOD AVE, HUNTINGTON, WV 25705-2711
(304) 416-3308
(304) 399-1293
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
717
WV
Other
Enumeration date
02/11/2017
Last updated
02/11/2017
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