Individual provider · Type 1 NPI

Kelly Blake, MS, RDN

Registered Dietitian · Salt Lake City, UT

NPI number 1629920897 Active

Practice location

1458 University Vlg
Salt Lake City, UT 84108-3518

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone 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 1629920897

Kelly Blake, MS, RDN's National Provider Identifier is 1629920897, issued on Feb 11, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 11, 2026.