Provider Demographics
NPI:1376279992
Name:ABELLA, KAYLA MIRIAM (RDN)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:MIRIAM
Last Name:ABELLA
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2504
Mailing Address - Country:US
Mailing Address - Phone:908-827-6174
Mailing Address - Fax:
Practice Address - Street 1:8 GARDEN ST
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2504
Practice Address - Country:US
Practice Address - Phone:908-827-6174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric