Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLIN NICOLE GRAY, RD, CSSD, LD
Active Sole ProprietorSports Dietetics · FORT LIBERTY, NC
Registration Details
- NPI Number
- 1114623592
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 6, 2023 (3.2062655787531 yrs)
- Last Updated
- Jan 27, 2025
- License
-
ND9335 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2817 ROCK MERRITT AVEFORT LIBERTY, NC, 283107394Browse NC providers · Browse ZIP 28310
- Phone
- 9109078922
- Fax
- 9109076069
- Primary Specialty
-
Sports Dietetics
133VN1501X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.