| Doctor Name: | KELLY BURGESS |
| NPI Number: | 1073746731 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MBA, RD, LDN |
| License Number: | DN004174 |
| Business Practice Address: | 894 Hardingville Rd Monroeville, NJ - 083432714 |
| Business Phone Number: | 6093526266 |
| Business Fax Number: | 8882669161 |
| Mailing Address: | 894 Hardingville Rd, MONROEVILLE |
| State: | NJ |
| Postal Code: | 083432714 |
| Phone Number: | 6093526266 |
| Fax Number: | 8882669161 |
| NPI Enumeration Date: | 08/28/2009 |
| NPI Last Update Date: | 08/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DN004174 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |