Provider Demographics
NPI:1093048688
Name:NEWTON, KYLE R (RD)
Entity Type:Individual
Prefix:MRS
First Name:KYLE
Middle Name:R
Last Name:NEWTON
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 1:3815 COUNTY ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-2925
Mailing Address - Country:US
Mailing Address - Phone:757-377-0987
Mailing Address - Fax:757-606-1058
Practice Address - Street 1:3815 COUNTY ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-2925
Practice Address - Country:US
Practice Address - Phone:757-377-0987
Practice Address - Fax:757-606-1058
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA944819133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered