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Kaley Jae Birge, RDN, CPT

Dietitian, Registered in Boulder, CO. Individual provider (NPI-1).

NPI number1487314449
StatusActive
Last updated in NPPESDec 17, 2021

Details

NPI
1487314449
Entity type
Individual (NPI-1)
Name
Kaley Jae Birge
Credential
RDN, CPT
Sex
Female
Sole proprietor
No
Enumeration date
Dec 17, 2021
Certification date
Dec 17, 2021
Last updated
Dec 17, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered86169756COYes

Practice location

4747 Arapahoe Ave
Boulder, CO 80303-1131

Phone 303-415-7000

Mailing address

4747 Arapahoe Ave
Boulder, CO 80303-1131

Phone 303-415-7000

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