Individual provider · Type 1 NPI

Kelly Susan Cornelius, RD

Registered Dietitian · Lemoore, CA

NPI number 1164187589 Active

Practice location

449 W D St Ste B
Lemoore, CA 93245-2623

Mailing address

440 N Barranca Ave # 8668
Covina, CA 91723-1722

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X86175798 (CA)

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 1164187589

Kelly Susan Cornelius, RD's National Provider Identifier is 1164187589, issued on Nov 1, 2021. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Lemoore, CA. The record was last updated on Feb 2, 2026.