NPI 1881274041 · live from the CMS NPI Registry
Kaylie Marie Brand, RD, LD
Dietitian, Registered in Maplewood, MN. National Provider Identifier 1881274041, active.
NPI record
| NPI | 1881274041 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2603 White Bear Ave N, Maplewood, MN 55109 |
| Practice phone | 651-600-3035 |
| Enumerated | April 12, 2021 |
| Last updated | April 12, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 4384 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.