Provider Demographics
NPI:1861756264
Name:MAIORANA, KYLE R (RDN, LDN)
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:R
Last Name:MAIORANA
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 BEAR CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-1604
Mailing Address - Country:US
Mailing Address - Phone:828-549-8404
Mailing Address - Fax:
Practice Address - Street 1:52 BEAR CREEK RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-1604
Practice Address - Country:US
Practice Address - Phone:828-549-8404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3230133V00000X
NCL004777133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered