MEDICARE: SHERYL ANNE KAI RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	ND6814	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3J9XY	OTHER	FL	FL BLUE

General Provider Information

NPI Number	:	1447437314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERYL ANNE KAI RD

Provider Business Mailing Address
First Line	:	27410 GREEN GULF BLVD
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33955-2028
Country	:	US
Telephone Number	:	828-600-3472
Fax Number	:

Provider Business Practice Location Address
First Line	:	27410 GREEN GULF BLVD
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33955-2028
Country	:	US
Telephone Number	:	828-600-3472
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2008
Last Update Date	:	11/17/2016

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Directions to “ SHERYL ANNE KAI RD” Practice Location

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