Provider Demographics
NPI:1295244580
Name:KAIGLER, MELODY NICOLE (RDN/LDN)
Entity type:Individual
Prefix:MS
First Name:MELODY
Middle Name:NICOLE
Last Name:KAIGLER
Suffix:
Gender:F
Credentials:RDN/LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 NW 193RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33056-2861
Mailing Address - Country:US
Mailing Address - Phone:305-582-0744
Mailing Address - Fax:
Practice Address - Street 1:1710 NW 193RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-2861
Practice Address - Country:US
Practice Address - Phone:305-582-0744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND4219133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered