Individual provider · NPI-1
Kelly J. Nelson, MS RD CSO LD
Dietitian, Registered · Ashland, OH
NPI number1073778189
StatusActive
Last updated in NPPESDec 3, 2025
Details
- NPI
- 1073778189
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kelly J. Nelson
- Credential
- MS RD CSO LD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 29, 2008
- Certification date
- Dec 3, 2025
- Last updated
- Dec 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 3331 | OH | Yes |
Practice location
1407 State Route 89Ashland, OH 44805-9763
Phone 937-269-5397
Mailing address
1407 State Route 89Ashland, OH 44805-9763
Phone 937-269-5397
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