Active NPIIndividual provider

Mrs. Kelly L Sheehan, RD, CD-N

Dietitian, Registered in Derby, Connecticut

NPI Number1346273224
Practice location
130 Division St, Dining Services, Derby, CT 06418-1326
Fax
203-732-7356
Last updated
July 8, 2007

Kelly Lynnette Sheehan is a Dietitian, Registered based in Derby, CT. Kelly Lynnette Sheehan practices in Derby, CT and has the professional credentials of RD, CD-N. The NPI Number for Kelly Lynnette Sheehan is 1346273224 and holds a License No. 000708 (CT). The current practice location address for Kelly Lynnette Sheehan is 130 Division St, Dining Services, Derby, CT 06418-1326 and can be reached out via phone at 203-732-7585 and via fax at 203-732-7356.

Provider Profile Details

NPI Number
1346273224
Provider Name
Kelly Lynnette Sheehan
Credential
RD, CD-N
Provider Entity Type
Individual
Gender
Female
Address
130 Division St, Dining Services, Derby, CT 06418-1326
Phone Number
203-732-7585
Fax Number
203-732-7356
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Other Names
Ms. Kelly Lynnette Dean, RD, CD-N (Former Name)
Provider Enumeration Date
July 7, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Division St
Dining Services
Derby, CT 06418-1326
City
Derby
Zip
06418-1326
Phone Number
203-732-7585
Fax Number
203-732-7356
Derby, CT 06418Get directions →

Provider Business Mailing Address Details

Address
168 Wheeler RD
Monroe, CT 06468-2428
City
Monroe
State
CT
Zip
06468-2428
Phone Number
203-452-8407

License Information

License Number (1)
000708
License State (1)
CT
Taxonomy (1)
Dietitian, Registered · 133V00000X · Primary
License Number (2)
911775
Taxonomy (2)
Dietitian, Registered · 133V00000X

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 Mrs. Kelly L Sheehan, RD, CD-N?

The NPI number of Mrs. Kelly L Sheehan, RD, CD-N is 1346273224. It was assigned on July 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kelly L Sheehan, RD, CD-N?

Mrs. Kelly L Sheehan, RD, CD-N is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 000708.

Where does Mrs. Kelly L Sheehan, RD, CD-N practice?

The practice location is 130 Division St, Dining Services, Derby, CT 06418-1326. The office can be reached at 203-732-7585 (phone) or 203-732-7356 (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 1346273224 directly on the NPPES registry website.

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