Individual provider · Type 1 NPI

Kelly Soracco, RDN

Registered Dietitian · Fort Wayne, IN

NPI number 1407466766 Active

Practice location

1234 E Dupont Rd Ste 3
Fort Wayne, IN 46825-1545

Mailing address

11109 Parkview Plaza Drive, Mailbox 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X37001137A (IN)

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 1407466766

Kelly Soracco, RDN's National Provider Identifier is 1407466766, issued on Aug 3, 2020. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 31, 2020.