Active NPIIndividual providerSole proprietor

Mrs. Kathleen H Kelley, RD, LDN

Dietitian, Registered in Enfield, Connecticut

NPI Number1861882557
Practice location
15 Palomba Dr, 2, Enfield, CT 06082-3888
Fax
860-253-9398
Last updated
February 2, 2015

Kathleen Helen Kelley is a Dietitian, Registered based in Enfield, CT. Kathleen Helen Kelley practices in Enfield, CT and has the professional credentials of RD, LDN. The NPI Number for Kathleen Helen Kelley is 1861882557 and holds a License No. 3511 (MA). The current practice location address for Kathleen Helen Kelley is 15 Palomba Dr, 2, Enfield, CT 06082-3888 and can be reached out via phone at 860-253-9950 and via fax at 860-253-9398.

Provider Profile Details

NPI Number
1861882557
Provider Name
Kathleen Helen Kelley
Credential
RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
15 Palomba Dr, 2, Enfield, CT 06082-3888
Phone Number
860-253-9950
Fax Number
860-253-9398
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 2, 2015
Last Update Date
February 2, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Palomba Dr
2
Enfield, CT 06082-3888
Zip
06082-3888
Phone Number
860-253-9950
Fax Number
860-253-9398
Enfield, CT 06082Get directions →

Provider Business Mailing Address Details

Address
2 Van Buren RD
Enfield, CT 06082-5323
City
Enfield
State
CT
Zip
06082-5323
Phone Number
860-463-9655
Fax Number
860-763-1260

License Information

License Number
3511
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 Mrs. Kathleen H Kelley, RD, LDN?

The NPI number of Mrs. Kathleen H Kelley, RD, LDN is 1861882557. It was assigned on February 2, 2015 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kathleen H Kelley, RD, LDN?

Mrs. Kathleen H Kelley, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 3511.

Where does Mrs. Kathleen H Kelley, RD, LDN practice?

The practice location is 15 Palomba Dr, 2, Enfield, CT 06082-3888. The office can be reached at 860-253-9950 (phone) or 860-253-9398 (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 1861882557 directly on the NPPES registry website.

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