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

Kylie Madison Deice

Individual provider Registered Dietitian · NPI 1770353112

Kylie Madison Deice is a Registered Dietitian in Charleston, South Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2024

Practice location Address checks out

10 McClennan Banks Dr
Charleston, SC 29401-1164
Phone: (843) 985-1590
Show map & directions

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

Additional practice locations (1)

  • 1333 Founders Way, Mount Pleasant, SC 29464-3994 — (972) 533-9334

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86152837 (SC)

Record details

NPI number1770353112
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 8, 2024
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 6, 2024

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