Doctor Name: | KELSEY KAY JOHNSON |
NPI Number: | 1083022354 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 60408150 |
Business Practice Address: | 673 Woodland Square Loop Se Suite 330 Lacey, WA - 985031066 |
Business Phone Number: | 8883645977 |
Business Fax Number: | |
Mailing Address: | 1295 Bandana Blvd N, SAINT PAUL |
State: | MN |
Postal Code: | 551085126 |
Phone Number: | 6516455323 |
Fax Number: | |
NPI Enumeration Date: | 07/30/2014 |
NPI Last Update Date: | 07/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 60408150 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
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 |