Kayleigh McClory, CNS

Individual provider Active NPI Nutritionist · Montpelier, VT

NPI 1346902400 · NPPES record last updated Oct 6, 2021

Key facts

NPI
1346902400
Entity type
Individual (NPI type 1)
Primary specialty
Nutritionist 133N00000X
Practice address
18 Hubbard St Apt 3
Montpelier, VT 05602-3878
Phone
(978) 501-3352
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Certified Nurse Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Yes

Addresses

Primary practice location

18 Hubbard St Apt 3
Montpelier, VT 05602-3878

Mailing address

1229 Chestnut Street
Front 1 Pmb151
Philadelphia, PA 19107
Phone (978) 501-3352

Other identifiers

IdentifierTypeStateIssuer
17911OtherBOARD FOR CERTIFICATION OF NUTRITION SPECIALISTS

Electronic endpoints

TypeEndpointUseAffiliation
Other URL https://modaycenter.md-hq.com/

Other providers in Montpelier, VT

All providers in Montpelier, VT · Nutritionist in Vermont

Sources for this page

Verify at the official NPI Registry.