Individual provider · Type 1 NPI

Laura Jean Kelly, RD, CSO, CDN

Registered Dietitian · Commack, NY

NPI number 1013203702 Active

Practice location

650 Commack Rd
Commack, NY 11725-5404

Call (631) 623-4000 Map

Fax (631) 864-2787

Specialties and licenses

TaxonomyCodeLicense
Nutritionist 133N00000X7184206 (NY)
Registered Dietitian Primary 133V00000X956635 (NY)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1013203702

Laura Jean Kelly, RD, CSO, CDN's National Provider Identifier is 1013203702, issued on Jun 22, 2011. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Commack, NY. The record was last updated on Jun 22, 2011.