Provider Demographics
NPI:1861161580
Name:SEXTON, KYLEE MARIE (MS, RD)
Entity type:Individual
Prefix:
First Name:KYLEE
Middle Name:MARIE
Last Name:SEXTON
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9712 MEADE CIR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-2633
Mailing Address - Country:US
Mailing Address - Phone:720-234-2090
Mailing Address - Fax:
Practice Address - Street 1:8120 SHERIDAN BLVD BLDG C
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-6104
Practice Address - Country:US
Practice Address - Phone:708-717-7394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered