Active NPIIndividual provider

Kelly A Demers, RD

Dietitian, Registered in Oklahoma City, Oklahoma

NPI Number1992273346
Practice location
10600 S Pennsylvania Ave Ste 16, Oklahoma City, OK 73170-4257
Fax
—
Last updated
March 10, 2025

Kelly Ann Demers is a Dietitian, Registered based in Oklahoma City, OK. Kelly Ann Demers practices in Oklahoma City, OK and has the professional credentials of RD. The NPI Number for Kelly Ann Demers is 1992273346 and holds a License No. 4433 (MN). The current practice location address for Kelly Ann Demers is 10600 S Pennsylvania Ave Ste 16, Oklahoma City, OK 73170-4257 and can be reached out via phone at 405-960-3120.

Provider Profile Details

NPI Number
1992273346
Provider Name
Kelly Ann Demers
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
10600 S Pennsylvania Ave Ste 16, Oklahoma City, OK 73170-4257
Phone Number
405-960-3120
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Other Names
Kelly Ann Smith, RD, LD (Former Name)
Provider Enumeration Date
November 4, 2018
Last Update Date
March 10, 2025
Certification Date
March 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
10600 S Pennsylvania Ave Ste 16
Oklahoma City, OK 73170-4257
Zip
73170-4257
Phone Number
405-960-3120
Oklahoma City, OK 73170Get directions →

Provider Business Mailing Address Details

Address
17 Oak St Apt 5
Brattleboro, VT 05301-6715
City
Brattleboro
State
VT
Zip
05301-6715
Phone Number
518-545-0128

License Information

License Number (1)
4433
License State (1)
MN
Taxonomy (1)
Dietitian, Registered · 133V00000X
License Number (2)
D-10195067
License State (2)
OR
Taxonomy (2)
Dietitian, Registered · 133V00000X
License Number (3)
0740134470
License State (3)
VT
Taxonomy (3)
Dietitian, Registered · 133V00000X
License Number (4)
3084
License State (4)
OK
Taxonomy (4)
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 A Demers, RD?

The NPI number of Kelly A Demers, RD is 1992273346. It was assigned on November 4, 2018 and is currently active in the NPPES registry.

What is the specialty of Kelly A Demers, RD?

Kelly A Demers, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MN under license number 4433.

Where does Kelly A Demers, RD practice?

The practice location is 10600 S Pennsylvania Ave Ste 16, Oklahoma City, OK 73170-4257. The office can be reached at 405-960-3120 (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 1992273346 directly on the NPPES registry website.

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