Active NPIIndividual provider

Kelley Breyer, RD

Dietitian, Registered in Wallingford, Connecticut

NPI Number1528535325
Practice location
11 Grieb Trl, Wallingford, CT 06492-2655
Fax
—
Last updated
October 30, 2018

Kelley Breyer is a Dietitian, Registered based in Wallingford, CT. Kelley Breyer practices in Wallingford, CT and has the professional credentials of RD. The NPI Number for Kelley Breyer is 1528535325 and holds a License No. 001406 (CT). The current practice location address for Kelley Breyer is 11 Grieb Trl, Wallingford, CT 06492-2655 and can be reached out via phone at 860-884-9718.

Provider Profile Details

NPI Number
1528535325
Provider Name
Kelley Breyer
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
11 Grieb Trl, Wallingford, CT 06492-2655
Phone Number
860-884-9718
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
October 30, 2018
Last Update Date
October 30, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Grieb Trl
Wallingford, CT 06492-2655
Zip
06492-2655
Phone Number
860-884-9718
Wallingford, CT 06492Get directions →

Provider Business Mailing Address Details

Address
164 Ridgeland Cir
Wallingford, CT 06492-2163
City
Wallingford
State
CT
Zip
06492-2163
Phone Number
203-631-4228

License Information

License Number (1)
001406
License State (1)
CT
Taxonomy (1)
Dietitian, Registered · 133V00000X
License Number (2)
001273
License State (2)
CT
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 Kelley Breyer, RD?

The NPI number of Kelley Breyer, RD is 1528535325. It was assigned on October 30, 2018 and is currently active in the NPPES registry.

What is the specialty of Kelley Breyer, RD?

Kelley Breyer, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 001406.

Where does Kelley Breyer, RD practice?

The practice location is 11 Grieb Trl, Wallingford, CT 06492-2655. The office can be reached at 860-884-9718 (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 1528535325 directly on the NPPES registry website.

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