Kevin R Fletcher Jr., RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN6946 Issued in MA

Practice address

214C Providence Rd
Brooklyn, CT 06234-1833

Phone

(860) 217-2675

Fax

(860) 217-2676

NPI assigned

Jun 17, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765584000000",
    "number": "1336035997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "KILLINGLY",
            "state": "CT",
            "postal_code": "062410264",
            "telephone_number": "860-217-2675",
            "fax_number": "860-217-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214C PROVIDENCE RD",
            "city": "BROOKLYN",
            "state": "CT",
            "postal_code": "062341833",
            "telephone_number": "860-217-2675",
            "fax_number": "860-217-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "KEVIN",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "002927",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "LDN6946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soo Dewolf
• Holly Douglas Matty, DMD
• Margaret M Downing, COTA/L
• Zacharia El-Samin, P.A.C
• Timothy A Fava, OPTICIAN
• Hailey Olson Hicks, LO, ABOC, NCLEC
• Joseph Alessandro
• Lincoln Zakariah Kamau, M.A., M.ED., BCBA
• David Lavimoniere, PHARMD
• Stephanie Corinne Liebscher, OD

• Registered Dietitian in Brooklyn, CT
• Providers in Brooklyn, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.