Provider Demographics
NPI:1568837961
Name:BOYD, KALEY K (RD)
Entity Type:Individual
Prefix:
First Name:KALEY
Middle Name:K
Last Name:BOYD
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:KALEY
Other - Middle Name:K
Other - Last Name:SECHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD
Mailing Address - Street 1:4099 WILLIAM PENN HWY STE 202
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2512
Mailing Address - Country:US
Mailing Address - Phone:412-372-4000
Mailing Address - Fax:
Practice Address - Street 1:4099 WILLIAM PENN HWY STE 202
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2512
Practice Address - Country:US
Practice Address - Phone:412-372-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005671133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered