Provider Demographics
NPI:1447437314
Name:KAI, SHERYL ANNE (RD)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:ANNE
Last Name:KAI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27410 GREEN GULF BLVD
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33955-2028
Mailing Address - Country:US
Mailing Address - Phone:828-600-3472
Mailing Address - Fax:
Practice Address - Street 1:27410 GREEN GULF BLVD
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33955-2028
Practice Address - Country:US
Practice Address - Phone:828-600-3472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND6814133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3J9XYOtherFL BLUE
FL3J9XYOtherFL BLUE