Active NPIIndividual providerSole proprietor

Kelly Brogan, MS, RD, CDN

Dietitian, Registered in Brooklyn, New York

NPI Number1790473536
Practice location
451 Clarkson Ave, Brooklyn, NY 11203-2054
Fax
—
Last updated
May 1, 2023

Kelly Brogan is a Dietitian, Registered based in Brooklyn, NY. Kelly Brogan practices in Brooklyn, NY and has the professional credentials of MS, RD, CDN. The NPI Number for Kelly Brogan is 1790473536 and holds a License No. 010840 (NY). The current practice location address for Kelly Brogan is 451 Clarkson Ave, Brooklyn, NY 11203-2054 and can be reached out via phone at 718-245-8978.

Provider Profile Details

NPI Number
1790473536
Provider Name
Kelly Brogan
Credential
MS, RD, CDN
Provider Entity Type
Individual
Gender
Female
Address
451 Clarkson Ave, Brooklyn, NY 11203-2054
Phone Number
718-245-8978
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 28, 2023
Last Update Date
May 1, 2023
Certification Date
May 1, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
451 Clarkson Ave
Brooklyn, NY 11203-2054
Zip
11203-2054
Phone Number
718-245-8978
Brooklyn, NY 11203Get directions →

Provider Business Mailing Address Details

Address
231 W 25TH St Apt 6G
New York, NY 10001-7173
City
New York
State
NY
Zip
10001-7173
Phone Number
443-370-8833

License Information

License Number
010840
License State
NY
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 Kelly Brogan, MS, RD, CDN?

The NPI number of Kelly Brogan, MS, RD, CDN is 1790473536. It was assigned on April 28, 2023 and is currently active in the NPPES registry.

What is the specialty of Kelly Brogan, MS, RD, CDN?

Kelly Brogan, MS, RD, CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 010840.

Where does Kelly Brogan, MS, RD, CDN practice?

The practice location is 451 Clarkson Ave, Brooklyn, NY 11203-2054. The office can be reached at 718-245-8978 (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 1790473536 directly on the NPPES registry website.

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