Healthcare Provider Details

I. General information

NPI: 1174882716
Provider Name (Legal Business Name): KATHRYN MARIE SAYRE RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHRYN MARIE PILEWSKI RD

II. Dates (important events)

Enumeration Date: 05/15/2012
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5003 SOUTHPARK DR STE 100
DURHAM NC
27713-9414
US

IV. Provider business mailing address

125 S GRAHAM ST
CHAPEL HILL NC
27516-2325
US

V. Phone/Fax

Practice location:
  • Phone: 973-224-7575
  • Fax:
Mailing address:
  • Phone: 973-224-7575
  • Fax: 919-373-2942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL003956
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: