Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY LYNN FUGOK, RD
ActivePediatric Nutrition · DANVILLE, PA
Registration Details
- NPI Number
- 1851643100
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2012 (13.528896537022 yrs)
- Last Updated
- May 28, 2025
- Licenses
-
DN002918 (PA)DN002918 (PA)
Practice Information
- Address
-
100 N ACADEMY AVE # MC15-09DANVILLE, PA, 178220001Browse PA providers · Browse ZIP 17822
- Phone
- 5702143223
- Fax
- 5702717805
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Pediatric Nutrition
Other Pediatric Nutrition Providers in DANVILLE, PA
| Name | Credential | NPI |
|---|---|---|
| NOEL SAMS | RD, LDN | 1962824276 |
| MICHAEL NORNHOLD II | RDN | 1912430026 |
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.