Individual provider · Type 1 NPI

Kelly Rae Kozik, RDN, LDN, CDCES

Registered Dietitian · Homer Glen, IL

NPI number 1396649299 Active

Practice location

12928 W Woodland Dr
Homer Glen, IL 60491-8722

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X164001323 (IL)

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 1396649299

Kelly Rae Kozik, RDN, LDN, CDCES's National Provider Identifier is 1396649299, issued on Oct 5, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Homer Glen, IL. The record was last updated on Oct 5, 2026.