Provider Demographics
NPI:1447532239
Name:GAFFNEY, KENDRA LEANNE (RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:KENDRA
Middle Name:LEANNE
Last Name:GAFFNEY
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:789 SAND HILL RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-1529
Mailing Address - Country:US
Mailing Address - Phone:828-333-0096
Mailing Address - Fax:828-505-8772
Practice Address - Street 1:31 COLLEGE PL STE B200
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2594
Practice Address - Country:US
Practice Address - Phone:828-333-0096
Practice Address - Fax:828-505-8772
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4940133V00000X
NC003849133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered