Kiley Kettle, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86175682 Issued in VA

Practice address

115 College PL Ste a
Norfolk, VA 23510-1930

Phone

(757) 440-3200

NPI assigned

Aug 2, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1831871573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 OAK FOREST DR",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220034412",
            "telephone_number": "571-421-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 COLLEGE PL STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101930",
            "telephone_number": "757-440-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "848 First Colonial Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234516126",
            "country_code": "US",
            "telephone_number": "757-422-4728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KETTLE",
        "first_name": "KILEY",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86175682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Kershaw, ATC
• Benjamin Ryan Kershner, CRNA
• Charles A Kessler, MD
• Sylvia Kelli Kessler, CRNA
• Jessica Ann Kestranek, DDS
• Sharon R Keverline, M.D.
• Kevin F. Honore D.D.S.,P.C.
• Constance M Kevorkian, MD
• Keys to Success Family & Developmental Services
• Keys to Wholeness LLC

• Registered Dietitian in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.