Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY LYNN KELLY, RD
ActivePediatric Nutrition · ELLISVILLE, MO
Registration Details
- NPI Number
- 1811142433
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 24, 2008 (17.408335917668 yrs)
- Last Updated
- Nov 24, 2008
- License
-
164004678 (IL)
Practice Information
- Address
-
254 CLARKSON RDELLISVILLE, MO, 630112245Browse MO providers · Browse ZIP 63011
- Phone
- 6362277337
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in ELLISVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| VICKI M RAAB | RD | 1578741633 |
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.