Individual
NICOLE YVONNE KILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8000 BADURA AVE UNIT 2147, LAS VEGAS, NV 89113-2119
(714) 745-9894
Mailing address
8000 BADURA AVE UNIT 2147, LAS VEGAS, NV 89113-2119
(714) 745-9894
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86017761
CA
Other
Enumeration date
09/24/2014
Last updated
01/18/2017
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