Provider Demographics
NPI:1013549732
Name:KITTLE, LEAH (RDN)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:KITTLE
Suffix:
Gender:
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1579 OLD RIVERS GATE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-7567
Mailing Address - Country:US
Mailing Address - Phone:865-207-4676
Mailing Address - Fax:
Practice Address - Street 1:1579 OLD RIVERS GATE RD
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-7567
Practice Address - Country:US
Practice Address - Phone:865-207-4676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-11
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist