Doctor Name: | KATHRYN KELLY |
NPI Number: | 1376777375 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LDN, RD, CDE |
License Number: | 404 |
Business Practice Address: | 1221 Main St Suite 203 South Weymouth, MA - 021901561 |
Business Phone Number: | 7813357559 |
Business Fax Number: | |
Mailing Address: | 19 Samuel Woodworth Rd, NORWELL |
State: | MA |
Postal Code: | 020611322 |
Phone Number: | 7814248382 |
Fax Number: | |
NPI Enumeration Date: | 05/06/2009 |
NPI Last Update Date: | 06/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 404 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |