Mary Ann Kelly, RD
Dietitian, Registered in Simpson, PA. Individual provider (NPI-1).
NPI number1346340445
StatusActive
Last updated in NPPESOct 27, 2025
Details
- NPI
- 1346340445
- Entity type
- Individual (NPI-1)
- Name
- Mary Ann Kelly
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2006
- Certification date
- Oct 27, 2025
- Last updated
- Oct 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN000257 | PA | Yes |
| 133V00000X | Dietitian, Registered | – | – | |
| 133V00000X | Dietitian, Registered | 816228 | NY |
Other names
- Mary Ann Prokarym (Former Name)
Practice location
705 Main StSimpson, PA 18407-1215
Phone 570-955-7133
Mailing address
705 Main StSimpson, PA 18407-1215
Phone 570-955-7133
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