Healthcare Provider Details

I. General information

NPI: 1194693903
Provider Name (Legal Business Name): KARA MICHELLE PLYLER RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 10/24/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12790 KAIN RD
GLEN ALLEN VA
23059-5729
US

IV. Provider business mailing address

112 CLIPPER CT
WILLIAMSBURG VA
23185-5282
US

V. Phone/Fax

Practice location:
  • Phone: 804-792-3456
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: