Individual provider · Type 1 NPI
Shannon Kelly
Registered Dietitian · Venice, CA
Practice location
1110 Lake St Apt 2
Venice, CA 90291-3116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | None listed |
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 1508712381
Shannon Kelly's National Provider Identifier is 1508712381, issued on Mar 5, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Venice, CA. The record was last updated on Mar 5, 2026.