Healthcare Provider Details

I. General information

NPI: 1659002855
Provider Name (Legal Business Name): SARAH KUYKENDALL SPRADLIN NBC-HWC, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2022
Last Update Date: 06/20/2022
Certification Date: 06/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 12TH ST N
BIRMINGHAM AL
35203-1537
US

IV. Provider business mailing address

110 12TH ST N
BIRMINGHAM AL
35203-1537
US

V. Phone/Fax

Practice location:
  • Phone: 855-255-2362
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number86040777
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number3169728
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: