Healthcare Provider Details

I. General information

NPI: 1578011425
Provider Name (Legal Business Name): KYLEIGH HARLOW MS, RD, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2016
Last Update Date: 11/25/2022
Certification Date: 11/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ARMY HEALTH CLINIC BLDG 2310, UNIT W1HH08
APO AE
09630
US

IV. Provider business mailing address

ARMY HEALTH CLINIC BLDG 2310, UNIT W1HH08
APO AE
09630
US

V. Phone/Fax

Practice location:
  • Phone: 314-636-9402
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDT85186
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code133VN1501X
TaxonomySports Dietetics Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: