Individual provider · NPI-1
Kylie Aaron, RDN, IBCLC
Dietitian, Registered · Tempe, AZ
NPI number1962109124
StatusActive
Last updated in NPPESFeb 8, 2023
Details
- NPI
- 1962109124
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kylie Aaron
- Credential
- RDN, IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2023
- Certification date
- Feb 8, 2023
- Last updated
- Feb 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86049643 | AZ | Yes |
| 174N00000X | Lactation Consultant, Non-RN | L-307192 | AZ |
Other names
- Kylie Knapp (Former Name)
Practice location
2046 E Minton DrTempe, AZ 85282-7436
Phone 480-415-2084
Mailing address
2046 E Minton DrTempe, AZ 85282-7436
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