MEDICARE: KAITLIN MARIE KING RDN

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	41291-DI-0	NV

General Provider Information

NPI Number	:	1982556726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLIN MARIE KING RDN

Provider Business Mailing Address
First Line	:	4959 TALBOT LN APT 138
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-6515
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4959 TALBOT LN APT 138
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-6515
Country	:	US
Telephone Number	:	775-846-9104
Fax Number	:

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

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “ KAITLIN MARIE KING RDN” Practice Location

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