Provider Demographics
NPI:1093334005
Name:PEPLINSKI, KAYLA MAE (RDN, CD)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:MAE
Last Name:PEPLINSKI
Suffix:
Gender:F
Credentials:RDN, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 HAYES ST APT 112
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54603-1031
Mailing Address - Country:US
Mailing Address - Phone:262-224-9531
Mailing Address - Fax:
Practice Address - Street 1:111 7TH ST N
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-4635
Practice Address - Country:US
Practice Address - Phone:608-785-9443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-09
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered