Active NPIIndividual provider

Kathryn Kelly, MS, LDN, RD, CDE

Dietitian, Registered in South Weymouth, Massachusetts

NPI Number1376777375
Practice location
1221 Main St, Suite 203, South Weymouth, MA 02190-1561
Fax
—
Last updated
June 6, 2014

Kathryn Kelly is a Dietitian, Registered based in South Weymouth, MA. Kathryn Kelly practices in South Weymouth, MA and has the professional credentials of MS, LDN, RD, CDE. The NPI Number for Kathryn Kelly is 1376777375 and holds a License No. 404 (MA). The current practice location address for Kathryn Kelly is 1221 Main St, Suite 203, South Weymouth, MA 02190-1561 and can be reached out via phone at 781-335-7559.

Provider Profile Details

NPI Number
1376777375
Provider Name
Kathryn Kelly
Credential
MS, LDN, RD, CDE
Provider Entity Type
Individual
Gender
Female
Address
1221 Main St, Suite 203, South Weymouth, MA 02190-1561
Phone Number
781-335-7559
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
May 6, 2009
Last Update Date
June 6, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1221 Main St
Suite 203
South Weymouth, MA 02190-1561
Zip
02190-1561
Phone Number
781-335-7559
South Weymouth, MA 02190Get directions →

Provider Business Mailing Address Details

Address
19 Samuel Woodworth RD
Norwell, MA 02061-1322
City
Norwell
State
MA
Zip
02061-1322
Phone Number
781-424-8382

License Information

License Number
404
License State
MA
Taxonomy
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 Kathryn Kelly, MS, LDN, RD, CDE?

The NPI number of Kathryn Kelly, MS, LDN, RD, CDE is 1376777375. It was assigned on May 6, 2009 and is currently active in the NPPES registry.

What is the specialty of Kathryn Kelly, MS, LDN, RD, CDE?

Kathryn Kelly, MS, LDN, RD, CDE is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 404.

Where does Kathryn Kelly, MS, LDN, RD, CDE practice?

The practice location is 1221 Main St, Suite 203, South Weymouth, MA 02190-1561. The office can be reached at 781-335-7559 (phone).

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 1376777375 directly on the NPPES registry website.

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