Individual provider · Type 1 NPI

Kellie Faughander Wall, RD, CNSC, CDN

Registered Dietitian · Syracuse, NY

NPI number 1053974337 Active

Practice location

750 E Adams St
Syracuse, NY 13210-2306

Call (240) 490-1346 Map

Mailing address

9105 Ashley Landing Drive
Clay, NY 13041

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X1058216 (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 1053974337

Kellie Faughander Wall, RD, CNSC, CDN's National Provider Identifier is 1053974337, issued on Apr 22, 2019. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Syracuse, NY. The record was last updated on Feb 26, 2024.