Provider Demographics
NPI:1518603414
Name:MURPHY, KAILAH (MS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:KAILAH
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 BOND ST UNIT 309
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-1373
Mailing Address - Country:US
Mailing Address - Phone:413-636-1863
Mailing Address - Fax:
Practice Address - Street 1:2150 BOND ST UNIT 309
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-1373
Practice Address - Country:US
Practice Address - Phone:413-636-1863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty