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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLE SHANNON

Active Sole Proprietor

KYLE SHANNON is a Registered Dietitian healthcare provider located in BETHLEHEM, Pennsylvania. NPI 1871130591 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · BETHLEHEM, PA

Registration Details

NPI Number
1871130591
Provider Type
Individual
Gender
Male
NPI Issued
Dec 2, 2019 (6.7271564101482 yrs)
Last Updated
Dec 20, 2019
Sole Proprietor
Yes

Practice Information

Address
1130 W BROAD ST STE 101
BETHLEHEM, PA, 180184926
Browse PA providers · Browse ZIP 18018
Phone
4845549638
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Sports Dietetics
Additional Specialty
Registered Dietitian

Other Registered Dietitian Providers in BETHLEHEM, PA

Name Credential NPI
MRS. SUZANNE CAROL ICKES R.D., LDN 1124236385
ADRIENNE E TASCHNER R.D. 1750520227
JUDITY A BARKANIC R.D. 1477792943
ELLEN M COUNTERMAN R.D. 1598904062
WANDA I MONTANEZ R. D. 1336388800
MARYELIZABETH A CILIBERTI R.D. 1770722241
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.