Kelly Burgess, RD, LD
Individual provider Active NPI Registered Dietitian · Jamestown, KY
NPI 1134840564 · NPPES record last updated Sep 5, 2022
Key facts
- NPI
- 1134840564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 252072 (KY)
- Practice address
- 1 Sparks Ave
Jamestown, KY 42629-2449 - Phone
- (270) 343-2101
- NPI assigned
- Sep 5, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252072 | KY | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 252072 | KY | Yes |
Addresses
Primary practice location
1 Sparks Ave
Jamestown, KY 42629-2449
Mailing address
2370 Cave Mill Station Blvd Apt 922
Bowling Green, KY 42104-6407
Phone (615) 815-5810
Other practice location 1
3740 Old Hartford Rd
Owensboro, KY 42303-1727
Phone (270) 684-7259
Other practice location 2
1002 Glenview Dr
Glasgow, KY 42141-3424
Phone (270) 651-8332
Other practice location 3
718 Goodwin Ln
Leitchfield, KY 42754-1400
Phone (270) 259-4036
Other providers in Jamestown, KY
- Alesia Arnold
- Jessica Diane Bailey
- Sherri L Bird
- Tami Jo Branham
- Tiffany Brassfield
- Jessica Byrd
- Jamie Lyn Cameron
- Kristy Lynn Campbell
- Michelle Egnew Carnes
- Reva Poynter Carnes
All providers in Jamestown, KY · Registered Dietitian in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.