Doctor Name: | MRS. KELLY LYNNETTE SHEEHAN |
NPI Number: | 1346273224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., CD-N |
License Number: | 911775 |
Business Practice Address: | 130 Division St Dining Services Derby, CT - 064181326 |
Business Phone Number: | 2037327585 |
Business Fax Number: | 2037327356 |
Mailing Address: | 168 Wheeler Rd, MONROE |
State: | CT |
Postal Code: | 064682428 |
Phone Number: | 2034528407 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 911775 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |