Provider Demographics
NPI:1013424126
Name:DRANEY, KYRSTIN BRIANNA (RD)
Entity Type:Individual
Prefix:
First Name:KYRSTIN
Middle Name:BRIANNA
Last Name:DRANEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:KYRSTIN
Other - Middle Name:BRIANNA
Other - Last Name:STALNAKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:3612 COLBY CHASE DR
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27539-9056
Mailing Address - Country:US
Mailing Address - Phone:919-391-0228
Mailing Address - Fax:888-577-1874
Practice Address - Street 1:3612 COLBY CHASE DR
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27539-9056
Practice Address - Country:US
Practice Address - Phone:919-391-0228
Practice Address - Fax:888-577-1874
Is Sole Proprietor?:No
Enumeration Date:2018-01-10
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL005343133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered