Provider Demographics
NPI:1417588070
Name:KAILANY, KAMILIA (RDN, LDN)
Entity type:Individual
Prefix:
First Name:KAMILIA
Middle Name:
Last Name:KAILANY
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 1:945 S MESA HILLS DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5122
Mailing Address - Country:US
Mailing Address - Phone:575-650-4404
Mailing Address - Fax:
Practice Address - Street 1:945 S MESA HILLS DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-5122
Practice Address - Country:US
Practice Address - Phone:575-650-4404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-31
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT89696133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered