Provider Demographics
NPI:1548691405
Name:CRYER, KALYN (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:KALYN
Middle Name:
Last Name:CRYER
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:KALYN
Other - Middle Name:
Other - Last Name:LAYTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, LD
Mailing Address - Street 1:140 CHURCH LOOP
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:TX
Mailing Address - Zip Code:77657-7337
Mailing Address - Country:US
Mailing Address - Phone:409-550-3245
Mailing Address - Fax:
Practice Address - Street 1:140 CHURCH LOOP
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:TX
Practice Address - Zip Code:77657-7337
Practice Address - Country:US
Practice Address - Phone:409-550-3245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-03
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1085829133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered