Kelly Balcourt, RD, LDN, CNSC
Dietitian, Registered in Worcester, Massachusetts
1396231510- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 774-257-0879
- Fax
- —
- Last updated
- July 11, 2018
Kelly Balcourt is a Dietitian, Registered based in Worcester, MA. Kelly Balcourt practices in Worcester, MA and has the professional credentials of RD, LDN, CNSC. The NPI Number for Kelly Balcourt is 1396231510 and holds a License No. 931366 (MA). The current practice location address for Kelly Balcourt is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 774-257-0879.
Provider Profile Details
- NPI Number
- 1396231510
- Provider Name
- Kelly Balcourt
- Credential
- RD, LDN, CNSC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 774-257-0879
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 11, 2018
- Last Update Date
- July 11, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 774-257-0879
Provider Business Mailing Address Details
- Address
- 11 Candlewood Pl
Worcester, MA 01606-1204 - City
- Worcester
- State
- MA
- Zip
- 01606-1204
- Phone Number
- 814-404-1119
License Information
- License Number
- 931366
- License State
- MA
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Worcester, MA
View all Dietitian, Registered providers in Worcester →- Iman Al-Bader, RDDietitian, Registered · NPI 1801538798
- Mrs. Lindsey M Beauregard, RDDietitian, Registered · NPI 1326746512
- Mrs. Margaret M Apura, RD, LDNDietitian, Registered · NPI 1356558704
- Mrs. Marlena J Aguirre, RD, LDNDietitian, Registered · NPI 1740765486
- Mrs. Susan N Bol, RDDietitian, Registered · NPI 1396895603
- Mrs. Tobie S Becker, RD, LDDietitian, Registered · NPI 1093040073
Frequently Asked Questions
What is the NPI number of Kelly Balcourt, RD, LDN, CNSC?
The NPI number of Kelly Balcourt, RD, LDN, CNSC is 1396231510. It was assigned on July 11, 2018 and is currently active in the NPPES registry.
What is the specialty of Kelly Balcourt, RD, LDN, CNSC?
Kelly Balcourt, RD, LDN, CNSC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 931366.
Where does Kelly Balcourt, RD, LDN, CNSC practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 774-257-0879 (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 1396231510 directly on the NPPES registry website.