Kelly L Devine MS, RD, LDN

NPI 1003001405 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1003001405
Gender Female
Enumeration Date 09/09/2007
Last Updated 01/25/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
6840 W WINDING TRL UNIT 401
OAK FOREST IL, 60452-5220, US
Phone (708) 612-0876
Fax
Business Location
6840 W WINDING TRL UNIT 401
OAK FOREST IL, 60452-5220, US
Phone (708) 612-0876
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Illinois
License Number 164.004722
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According to our database, Ms. Kelly L Devine MS, RD, LDN NPI is 1003001405, taxonomy code is 133V00000X and license number is 164.004722, license state is located at Illinois. Kelly L Devine MS, RD, LDN physically located at 6840 W Winding Trl Unit 401, Oak Forest IL, 60452-5220. NPI Number Kelly L Devine MS, RD, LDN has the Individual type.

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1003001405 NPI number is provided on an as is basis without warranty of any kind. 1003001405 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly L Devine MS, RD, LDN are for informational purposes only.