Active NPIIndividual providerSole proprietor

Laura R Khettry, MS, RDN, CDN

Dietitian, Registered in Ridgewood, New Jersey

NPI Number1992340251
Practice location
145 Madison Pl, Ridgewood, NJ 07450-3040
Fax
—
Last updated
June 28, 2023

Laura Rolfe Khettry is a Dietitian, Registered based in Ridgewood, NJ. Laura Rolfe Khettry practices in Ridgewood, NJ and has the professional credentials of MS, RDN, CDN. The NPI Number for Laura Rolfe Khettry is 1992340251 and holds a License No. 86031706. The current practice location address for Laura Rolfe Khettry is 145 Madison Pl, Ridgewood, NJ 07450-3040 and can be reached out via phone at 610-310-0040.

Provider Profile Details

NPI Number
1992340251
Provider Name
Laura Rolfe Khettry
Credential
MS, RDN, CDN
Provider Entity Type
Individual
Gender
Female
Address
145 Madison Pl, Ridgewood, NJ 07450-3040
Phone Number
610-310-0040
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 11, 2019
Last Update Date
June 28, 2023
Certification Date
June 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
145 Madison Pl
Ridgewood, NJ 07450-3040
Zip
07450-3040
Phone Number
610-310-0040
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
145 Madison Pl
Ridgewood, NJ 07450-3040
City
Ridgewood
State
NJ
Zip
07450-3040
Phone Number
610-310-0040

License Information

License Number
86031706
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 Laura R Khettry, MS, RDN, CDN?

The NPI number of Laura R Khettry, MS, RDN, CDN is 1992340251. It was assigned on November 11, 2019 and is currently active in the NPPES registry.

What is the specialty of Laura R Khettry, MS, RDN, CDN?

Laura R Khettry, MS, RDN, CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed under license number 86031706.

Where does Laura R Khettry, MS, RDN, CDN practice?

The practice location is 145 Madison Pl, Ridgewood, NJ 07450-3040. The office can be reached at 610-310-0040 (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 1992340251 directly on the NPPES registry website.

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