Doctor Name: | KELLIE A DYE |
NPI Number: | 1386658698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD/LD |
License Number: | 170 |
Business Practice Address: | 2075 University Park Blvd Layton, UT - 840411611 |
Business Phone Number: | 8017796200 |
Business Fax Number: | |
Mailing Address: | Po Box 27128, SALT LAKE CITY |
State: | UT |
Postal Code: | 841270128 |
Phone Number: | 8017796200 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2006 |
NPI Last Update Date: | 07/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |