Leeper, Kylie Brenna

Leeper, Kylie Brenna is an sole proprietor health care provider with primary practice located at 2101 N Waterman Ave , San Bernardino CA 92404-4836. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Leeper, Kylie Brenna can be contacted via phone (909) 883-9711.

Contact Information

Primary practice address
2101 N Waterman Ave San Bernardino CA 92404-4836
Phone: (909) 883-9711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 86061000
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86061000

Profile Details

NPI number 1225599780
LBN Legal business name Leeper, Kylie Brenna
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2019
Last updated Mar 27th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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