Provider Demographics
NPI:1871391391
Name:LAWS, KAITLYN (RD, LD)
Entity type:Individual
Prefix:MRS
First Name:KAITLYN
Middle Name:
Last Name:LAWS
Suffix:
Gender:
Credentials:RD, LD
Other - Prefix:MISS
Other - First Name:KAITLYN
Other - Middle Name:
Other - Last Name:DEMARIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LD
Mailing Address - Street 1:3302 VIC JOY DR
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:OH
Mailing Address - Zip Code:45106-9303
Mailing Address - Country:US
Mailing Address - Phone:513-432-3130
Mailing Address - Fax:
Practice Address - Street 1:3302 VIC JOY DR
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:OH
Practice Address - Zip Code:45106-9303
Practice Address - Country:US
Practice Address - Phone:513-432-3130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.09317133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered