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MS. KELLY L DEVINE MS RD LDN NPI 1003001405

NPI Profile

NPI: 1003001405
Provider Name: MS. KELLY L DEVINE, MS, RD, LDN
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
6840 W WINDING TRL UNIT 401
OAK FOREST, IL
ZIP 60452
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Phone: (708) 612-0876

MS. Kelly L Devine, MS, RD, LDN is a healthcare provider in Oak Forest, IL.The provider is a registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. MS. Kelly L Devine, MS, RD, LDN NPI is 1003001405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6840 W WINDING TRL UNIT 401
OAK FOREST, IL
ZIP 60452-220
Phone: (708) 612-0876

The enumeration date for this NPI number is 9/9/2007 and was last updated on 1/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K47013/204133MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 10/13/2019

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