Provider Demographics
NPI:1326932831
Name:WELDY, KAITLYN MARIE (RDN)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:MARIE
Last Name:WELDY
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:MARIE
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:802 OLD FOREST RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2129
Mailing Address - Country:US
Mailing Address - Phone:317-453-1794
Mailing Address - Fax:
Practice Address - Street 1:802 OLD FOREST RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-2129
Practice Address - Country:US
Practice Address - Phone:317-453-1794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL086357113133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered