Doctor Name: | MS. KRISTIN MARIE KELLY |
NPI Number: | 1518350289 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LDN |
License Number: | L004473 |
Business Practice Address: | 160 Macgregor Pines Dr Suite 310 Cary, NC - 275116036 |
Business Phone Number: | 9192344468 |
Business Fax Number: | 9193131276 |
Mailing Address: | 120 William Penn Plz, DURHAM |
State: | NC |
Postal Code: | 277042150 |
Phone Number: | 9192205255 |
Fax Number: | 9193131276 |
NPI Enumeration Date: | 03/05/2015 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | L004473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |