Kellie Smith, DTR
Dietitian, Registered in Pittsburgh, PA. Individual provider (NPI-1).
NPI number1255911343
StatusActive
Last updated in NPPESSep 13, 2021
Details
- NPI
- 1255911343
- Entity type
- Individual (NPI-1)
- Name
- Kellie Smith
- Credential
- DTR
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2021
- Certification date
- Sep 13, 2021
- Last updated
- Sep 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86068849 | – | Yes |
| 136A00000X | Dietetic Technician, Registered | 86068849 | – |
Practice location
1725 Washington Rd Ste 408Pittsburgh, PA 15241-1214
Phone 304-932-5353
Mailing address
250 Prigg RdWashington, PA 15301-9372
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