Doctor Name: | MRS. KELLY MEREDITH ORNBERG |
NPI Number: | 1457647968 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | 1012489 |
Business Practice Address: | 1256 Nw Canal Blvd Redmond, OR - 97756 |
Business Phone Number: | 5415266691 |
Business Fax Number: | |
Mailing Address: | 20940 Gift Rd, BEND |
State: | OR |
Postal Code: | 977018983 |
Phone Number: | 5416014371 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2011 |
NPI Last Update Date: | 01/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1012489 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |