Provider Demographics
NPI:1134653306
Name:DELANEY, KAYLEIGH (RD)
Entity Type:Individual
Prefix:
First Name:KAYLEIGH
Middle Name:
Last Name:DELANEY
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 1:5050 MARSH ROAD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864
Mailing Address - Country:US
Mailing Address - Phone:517-940-8848
Mailing Address - Fax:
Practice Address - Street 1:5050 MARSH ROAD
Practice Address - Street 2:SUITE 5
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864
Practice Address - Country:US
Practice Address - Phone:517-940-8848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered