Doctor Name: | MRS. KATHLEEN HELEN KELLEY |
NPI Number: | 1861882557 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LDN |
License Number: | 3511 |
Business Practice Address: | 15 Palomba Dr 2 Enfield, CT - 060823888 |
Business Phone Number: | 8602539950 |
Business Fax Number: | 8602539398 |
Mailing Address: | 2 Van Buren Rd, ENFIELD |
State: | CT |
Postal Code: | 060825323 |
Phone Number: | 8604639655 |
Fax Number: | 8607631260 |
NPI Enumeration Date: | 02/02/2015 |
NPI Last Update Date: | 02/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 3511 |
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 |