Healthcare Provider Details

I. General information

NPI: 1477462091
Provider Name (Legal Business Name): KAYLA O'NEILL RDN, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLA MILBURN RDN, LDN

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 INDUSTRIAL AVE
CHELMSFORD MA
01824-3618
US

IV. Provider business mailing address

14 LYNBROOK RD
METHUEN MA
01844-1649
US

V. Phone/Fax

Practice location:
  • Phone: 978-250-0981
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLDN6679
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: