Healthcare Provider Details

I. General information

NPI: 1184548810
Provider Name (Legal Business Name): KAITLYN PILOSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7013 ORCHARD MEADOWS CT
SAINT LOUIS MO
63129-5523
US

IV. Provider business mailing address

7013 ORCHARD MEADOWS CT
SAINT LOUIS MO
63129-5523
US

V. Phone/Fax

Practice location:
  • Phone: 314-365-5437
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number2026014808
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: