Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY SUE LEONARD, NUTRITIONIST
ActivePediatric Nutrition · RALEIGH, NC
Registration Details
- NPI Number
- 1912202722
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2011 (15.235755764625 yrs)
- Last Updated
- Apr 4, 2025
- License
-
969608 (VA)
Practice Information
- Address
-
2801 BLUE RIDGE RDRALEIGH, NC, 276070114Browse NC providers · Browse ZIP 27607
- Phone
- 9849740502
- Fax
- 9849749579
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in RALEIGH, NC
| Name | Credential | NPI |
|---|---|---|
| MRS. SHELLEY BOLT WILKINS | RD | 1922496173 |
| CAROL MARY MEDINS | MPH, RD, LDN, CNSC | 1639646367 |
| KELSEY IONA PARKMAN | RD | 1710622311 |
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.