Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAYLA BRIDGES, RD-AP, CSP, CNSC
ActivePediatric Nutrition · ROYAL OAK, MI
Registration Details
- NPI Number
- 1700324068
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 7, 2017 (9.2026455588729 yrs)
- Last Updated
- Feb 7, 2017
Practice Information
- Address
-
3601 W 13 MILE RD5 SOUTH TOWER NICUROYAL OAK, MI, 480736712Browse MI providers · Browse ZIP 48073
- Phone
- 2485514752
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
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.