Provider Demographics
NPI:1629893136
Name:KAILEY OGILVIE NUTRITION PLLC
Entity type:Organization
Organization Name:KAILEY OGILVIE NUTRITION PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ORGANIZATION
Authorized Official - Prefix:
Authorized Official - First Name:KAILEY
Authorized Official - Middle Name:JAYNE
Authorized Official - Last Name:OGILVIE
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, CDN, MS
Authorized Official - Phone:516-376-8448
Mailing Address - Street 1:2 CRESCENT COVE DR
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-3600
Mailing Address - Country:US
Mailing Address - Phone:516-376-8448
Mailing Address - Fax:
Practice Address - Street 1:2 CRESCENT COVE DR
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-3600
Practice Address - Country:US
Practice Address - Phone:576-376-8448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-19
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty