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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SANDRA RAE KELLY, R.D., L.D.

Active Sole Proprietor

MRS. SANDRA RAE KELLY, R.D., L.D. is a Registered Dietitian healthcare provider located in BLOOMINGTON, Minnesota. NPI 1417175225 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · BLOOMINGTON, MN

Registration Details

NPI Number
1417175225
Provider Type
Individual
Gender
Female
NPI Issued
Apr 24, 2007 (19.119261288465 yrs)
Last Updated
Jul 8, 2007
License
2086 (MN)
Sole Proprietor
Yes

Practice Information

Address
10006 MAPLE CIR
BLOOMINGTON, MN, 554312870
Browse MN providers · Browse ZIP 55431
Phone
9528845489
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in BLOOMINGTON, MN

Name Credential NPI
SUZANNE C SORENSEN RD, LD, CDE 1639144512
KATHERINE KLOUDA RD 1780602987
CAROL DIANE SCHNEIDER MS,RD,LD,CDE 1164577110
TRACY LYNN NEWELL RD LD 1821258781
TARA ETTESTAD RD, LD, CDE 1578991352
RANDI GIBBS R.D., L.D. 1710397278
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.