Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cedric R Waller

Individual provider Nutrition Education Nutritionist · NPI 1639824907

Cedric R Waller is a Nutrition Education Nutritionist in Kannapolis, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

171 Ashmount Dr
Kannapolis, NC 28081
Phone: (901) 491-5007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Education Nutritionist (primary) Taxonomy 133NN1002X

Record details

NPI number1639824907
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 15, 2022
Last updated in NPPESFebruary 15, 2022
Certification dateFebruary 1, 2022
Mailing address171 Ashmount Dr, Kannapolis, NC 28081