Provider Demographics
NPI:1578391025
Name:STENZ, KAYLA (RD, LDN)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:STENZ
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 1:3110 SYCAMORE LN
Mailing Address - Street 2:
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1328
Mailing Address - Country:US
Mailing Address - Phone:484-302-6505
Mailing Address - Fax:
Practice Address - Street 1:3110 SYCAMORE LN
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-1328
Practice Address - Country:US
Practice Address - Phone:484-302-6505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN008475133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered