Individual
KYLIE IRENA BENAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
514 CLUBHOUSE AVE, NEWPORT BEACH, CA 92663-3211
(813) 716-0446
Mailing address
514 CLUBHOUSE AVE, NEWPORT BEACH, CA 92663-3211
(813) 716-0446
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
086301968
CA
Other
Enumeration date
11/04/2025
Last updated
11/07/2025
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