Provider Demographics
NPI:1275243628
Name:KLINE, ABBY NICOLE (MS, RD, LDN)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:NICOLE
Last Name:KLINE
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10485 SENEGAL DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32534-9785
Mailing Address - Country:US
Mailing Address - Phone:330-696-1299
Mailing Address - Fax:
Practice Address - Street 1:10485 SENEGAL DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32534-9785
Practice Address - Country:US
Practice Address - Phone:330-696-1299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-28
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86174000133VN1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports Dietetics