Individual provider · Type 1 NPI
Kelly Lynn Fugok, RD
Pediatric Nutrition Registered Dietitian · Danville, PA
Practice location
100 N Academy Ave # MC15-09
Danville, PA 17822-0001
Fax (570) 271-7805
Mailing address
Geisinger Medical Ctr, 100 North Academy Avenue, Mc 15-09
Danville, PA 17822-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian | 133V00000X | DN002918 (PA) |
| Pediatric Nutrition Registered Dietitian Primary | 133VN1004X | DN002918 (PA) |
Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…
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About NPI 1851643100
Kelly Lynn Fugok, RD's National Provider Identifier is 1851643100, issued on Oct 11, 2012. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Danville, PA. The record was last updated on May 28, 2025.