Individual provider · Type 1 NPI

Kelly C. O'Heron, RD CD

Registered Dietitian · Columbus, WI

NPI number 1326062415 Active · reactivated Feb 21, 2023

Practice location

1515 Park Ave
Columbus, WI 53925-2402

Call (920) 623-2200 Map

Other practice locations

  • 1515 Park Ave, Columbus, WI 53925 · (920) 623-2200

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X1939 (WI)

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 1326062415

Kelly C. O'Heron, RD CD's National Provider Identifier is 1326062415, issued on Jul 26, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Columbus, WI. The record was last updated on Mar 3, 2025.