Provider Demographics
NPI:1154345916
Name:RAMOTAR, KAYLA O'GRADY (MS, RD, CDN, CSCS)
Entity type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:O'GRADY
Last Name:RAMOTAR
Suffix:
Gender:F
Credentials:MS, RD, CDN, CSCS
Other - Prefix:MS
Other - First Name:KAYLA
Other - Middle Name:O'GRADY
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, CDN
Mailing Address - Street 1:10262 SILVER STIRRUP DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80925-1342
Mailing Address - Country:US
Mailing Address - Phone:607-592-9660
Mailing Address - Fax:
Practice Address - Street 1:1650 COCHRANE CIR
Practice Address - Street 2:BLDG 7500
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4613
Practice Address - Country:US
Practice Address - Phone:719-524-5733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006107-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered