Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY WYNNE MINARICK, RD, RDN, LDN
Active Sole ProprietorMRS. KELLY WYNNE MINARICK, RD, RDN, LDN is a Registered Dietitian healthcare provider located in LISLE, Illinois. NPI 1073251724 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · LISLE, IL
Registration Details
- NPI Number
- 1073251724
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2022 (4.2390250479603 yrs)
- Last Updated
- Mar 21, 2024
- License
-
164.007272 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
650 WARRENVILLE RD STE 100LISLE, IL, 605324315Browse IL providers · Browse ZIP 60532
- Phone
- 8473183013
- Fax
- 8332905413
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in LISLE, IL
| Name | Credential | NPI |
|---|---|---|
| MARY BETH SANCHEZ | RD | 1649295841 |
| MRS. DEEPA DESHMUKH | MPH,RD,LDN | 1164570313 |
| MRS. CRISTINA CHUPARKOFF | RDN, LDN | 1578689808 |
| MS. MELISSA M SHEEHY | RD | 1063690287 |
| MRS. STEPHANIE CIUCCI | RD | 1881938124 |
| MRS. LOU ANN CHVATAL | RD | 1861739195 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.