Provider Demographics
NPI:1457942914
Name:CAITO, KAYLEIGH (MS, RDN, LD)
Entity Type:Individual
Prefix:
First Name:KAYLEIGH
Middle Name:
Last Name:CAITO
Suffix:
Gender:F
Credentials:MS, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1486 LEITNAKER RD NE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:OH
Mailing Address - Zip Code:43105-9760
Mailing Address - Country:US
Mailing Address - Phone:740-243-1847
Mailing Address - Fax:
Practice Address - Street 1:7251 WINDSWEPT WAY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-5749
Practice Address - Country:US
Practice Address - Phone:740-243-1847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.08730133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered