Active NPIIndividual providerSole proprietor

Kelly Burgess, MBA, RD, LDN

Dietitian, Registered in Monroeville, New Jersey

NPI Number1073746731
Practice location
894 Hardingville RD, Monroeville, NJ 08343-2714
Fax
888-266-9161
Last updated
August 25, 2013

Kelly Burgess is a Dietitian, Registered based in Monroeville, NJ. Kelly Burgess practices in Monroeville, NJ and has the professional credentials of MBA, RD, LDN. The NPI Number for Kelly Burgess is 1073746731 and holds a License No. DN004174 (PA). The current practice location address for Kelly Burgess is 894 Hardingville RD, Monroeville, NJ 08343-2714 and can be reached out via phone at 609-352-6266 and via fax at 888-266-9161.

Provider Profile Details

NPI Number
1073746731
Provider Name
Kelly Burgess
Credential
MBA, RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
894 Hardingville RD, Monroeville, NJ 08343-2714
Phone Number
609-352-6266
Fax Number
888-266-9161
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 28, 2009
Last Update Date
August 25, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
894 Hardingville RD
Monroeville, NJ 08343-2714
Zip
08343-2714
Phone Number
609-352-6266
Fax Number
888-266-9161
Monroeville, NJ 08343Get directions →

Provider Business Mailing Address Details

Address
894 Hardingville RD
Monroeville, NJ 08343-2714
City
Monroeville
State
NJ
Zip
08343-2714
Phone Number
609-352-6266
Fax Number
888-266-9161

License Information

License Number (1)
DN004174
License State (1)
PA
Taxonomy (1)
Dietitian, Registered · 133V00000X
License State (2)
NJ
Taxonomy (2)
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly Burgess, MBA, RD, LDN?

The NPI number of Kelly Burgess, MBA, RD, LDN is 1073746731. It was assigned on August 28, 2009 and is currently active in the NPPES registry.

What is the specialty of Kelly Burgess, MBA, RD, LDN?

Kelly Burgess, MBA, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in PA under license number DN004174.

Where does Kelly Burgess, MBA, RD, LDN practice?

The practice location is 894 Hardingville RD, Monroeville, NJ 08343-2714. The office can be reached at 609-352-6266 (phone) or 888-266-9161 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073746731 directly on the NPPES registry website.

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