Active NPIIndividual provider

Miss Mary E Kelly, MS, RD, CDN

Dietitian, Registered in Milton, Massachusetts

NPI Number1932120821
Practice location
55 Huntington RD, Milton, MA 02186-5311
Fax
—
Last updated
January 2, 2025

Mary Ellen Kelly is a Dietitian, Registered based in Milton, MA. Mary Ellen Kelly practices in Milton, MA and has the professional credentials of MS, RD, CDN. The NPI Number for Mary Ellen Kelly is 1932120821 and holds a License No. 00952137 (NY). The current practice location address for Mary Ellen Kelly is 55 Huntington RD, Milton, MA 02186-5311 and can be reached out via phone at 617-784-3678.

Provider Profile Details

NPI Number
1932120821
Provider Name
Mary Ellen Kelly
Credential
MS, RD, CDN
Provider Entity Type
Individual
Gender
Female
Address
55 Huntington RD, Milton, MA 02186-5311
Phone Number
617-784-3678
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
July 23, 2006
Last Update Date
January 2, 2025
Certification Date
January 2, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Huntington RD
Milton, MA 02186-5311
City
Milton
Zip
02186-5311
Phone Number
617-784-3678
Milton, MA 02186Get directions →

Provider Business Mailing Address Details

Address
55 Huntington RD
Milton, MA 02186-5311
City
Milton
State
MA
Zip
02186-5311
Phone Number
617-784-3678

License Information

License Number
00952137
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 Miss Mary E Kelly, MS, RD, CDN?

The NPI number of Miss Mary E Kelly, MS, RD, CDN is 1932120821. It was assigned on July 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Miss Mary E Kelly, MS, RD, CDN?

Miss Mary E Kelly, MS, RD, CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 00952137.

Where does Miss Mary E Kelly, MS, RD, CDN practice?

The practice location is 55 Huntington RD, Milton, MA 02186-5311. The office can be reached at 617-784-3678 (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 1932120821 directly on the NPPES registry website.

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