Provider Demographics
NPI:1902796501
Name:ARSENAULT, KYRA J (RD)
Entity type:Individual
Prefix:
First Name:KYRA
Middle Name:J
Last Name:ARSENAULT
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 1:581 BELDEN ST APT 3
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-1367
Mailing Address - Country:US
Mailing Address - Phone:508-505-8933
Mailing Address - Fax:
Practice Address - Street 1:10 HARRIS CT STE C6
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5820
Practice Address - Country:US
Practice Address - Phone:508-505-8933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA86392596133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered