Kyra Faith Gomes, RDN
Dietitian, Registered in Madison, AL. Individual provider (NPI-1).
NPI number1164026449
StatusActive
Last updated in NPPESNov 26, 2020
Details
- NPI
- 1164026449
- Entity type
- Individual (NPI-1)
- Name
- Kyra Faith Gomes
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 26, 2020
- Certification date
- Nov 26, 2020
- Last updated
- Nov 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86156632 | AL | Yes |
Practice location
142 Long Bow DrMadison, AL 35758-7892
Phone 256-975-5902
Mailing address
142 Long Bow DrMadison, AL 35758-7892
Phone 256-975-5902
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