Provider Demographics
NPI:1336269711
Name:GRANT-TAYLOR, KAYE-ANN (RD)
Entity type:Individual
Prefix:DR
First Name:KAYE-ANN
Middle Name:
Last Name:GRANT-TAYLOR
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11309 LAKE UNDERHILL RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-4427
Mailing Address - Country:US
Mailing Address - Phone:407-447-1798
Mailing Address - Fax:
Practice Address - Street 1:11309 LAKE UNDERHILL RD
Practice Address - Street 2:SUITE 103
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-4427
Practice Address - Country:US
Practice Address - Phone:407-447-1798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND2209133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered