Organization
KYLA NUTRITION & WELLNESS
Active
Organization
KYLA NUTRITION & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLA SCHEESE RDN, LD, CEDS, CPT (OWNER/PROVIDER)
(248) 766-9627
Entity
Organization
Contact information
Practice address
4758 BROOMFIELD WAY, LAKE ORION, MI 48359-1956
(248) 766-9627
Mailing address
4758 BROOMFIELD WAY, LAKE ORION, MI 48359-1956
(248) 766-9627
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
02/08/2019
Last updated
06/01/2022
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