IndividualActive
Kyla Macdonald
NPI 1669291076 · Nutritionist · Southern Pines, NC
Provider details
- NPI number
- 1669291076
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 18993
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
455 Clearfield Ln
Southern Pines, NC 28387-7112
Phone: (206) 335-2939
Approximate (ZIP-level) locationGet directions
Mailing address
455 Clearfield Ln
Southern Pines, NC 28387-7112
Registry dates
- Enumerated
- 2024-10-03
- Last updated
- 2024-10-03
- Certified
- 2024-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.