MEDICARE: KAYLA ELIZABETH NELSON MPS, RDN, LDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	L008756	NC

General Provider Information

NPI Number	:	1033089321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA ELIZABETH NELSON MPS, RDN, LDN

Provider Business Mailing Address
First Line	:	417 W PEACE ST
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-5000
Country	:	US
Telephone Number	:	248-826-8625
Fax Number	:

Provider Business Practice Location Address
First Line	:	417 W PEACE ST
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-5000
Country	:	US
Telephone Number	:	248-826-8625
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2025
Last Update Date	:	01/13/2026

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