Individual provider · Type 1 NPI

Kyle Bolton

Registered Dietitian · Fort Drum, NY

NPI number 1861151326 Active

Practice location

20460 Anaconda Rd
Fort Drum, NY 13603

Call (480) 387-0619 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1861151326

Kyle Bolton's National Provider Identifier is 1861151326, issued on Dec 13, 2021. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Fort Drum, NY. The record was last updated on Mar 18, 2025.