Provider Demographics
NPI:1811761141
Name:LEES, KAITLYN NEELEMAN (RD)
Entity type:Individual
Prefix:MRS
First Name:KAITLYN
Middle Name:NEELEMAN
Last Name:LEES
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 FLYNN AVE APT A
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-3945
Mailing Address - Country:US
Mailing Address - Phone:801-360-0319
Mailing Address - Fax:
Practice Address - Street 1:123 FLYNN AVE APT A
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94043-3945
Practice Address - Country:US
Practice Address - Phone:801-360-0319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management