Individual provider · NPI-1

Kellie Robin Foss, RDN

Dietitian, Registered · Santa Rosa, CA

NPI number1558299255
StatusActive
Last updated in NPPESMay 12, 2026

Details

NPI
1558299255
Entity type
Individual (NPI-1)
Name
Kellie Robin Foss
Credential
RDN
Sex
Female
Sole proprietor
No
Enumeration date
May 12, 2026
Certification date
May 12, 2026
Last updated
May 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

401 Bicentennial Way
Santa Rosa, CA 95403-2149

Phone 707-393-4000

Mailing address

5501 Marit Dr
Santa Rosa, CA 95409-3828

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