IndividualActive
Kaitlin Gray, RD, CSSD, LD
NPI 1114623592 · Sports Dietetics Nutrition Registered Dietitian · Fort Liberty, NC
Provider details
- NPI number
- 1114623592
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CSSD, LD
- Sex
- Female
- Sole proprietor
- Yes
- License
- ND9335 (FL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
2817 Rock Merritt Ave
Fort Liberty, NC 28310-7394
Phone: (910) 907-8922
Fax: (910) 907-6069
Approximate (ZIP-level) locationGet directions
Mailing address
110 Rutledge Ln
Pinehurst, NC 28374-7026
Registry dates
- Enumerated
- 2023-02-06
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.