Madeline Kinzly, M.S., R.D.N.
Individual provider Active NPI Registered Dietitian · South Burlington, VT
NPI 1669845947 · NPPES record last updated Nov 9, 2015
Key facts
- NPI
- 1669845947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 074.0116748 (VT)
- Practice address
- N12 Stonehedge Dr
South Burlington, VT 05403-7383 - Phone
- (207) 475-6828
- NPI assigned
- Nov 9, 2015
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074.0116748 | VT | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 074.0116748 | VT | Yes |
Addresses
Primary practice location
N12 Stonehedge Dr
South Burlington, VT 05403-7383
Mailing address
N12 Stonehedge Dr
South Burlington, VT 05403-7383
Other providers in South Burlington, VT
- Keslyn Kime
- Bridget Randall Kimsey
- Jennifer King
- Wendy King
- Lindsay Kintop
- Janet M Kirwan
- Amanda Klaczko
- Rachel Kling
- Sarah Leah Klionsky
- Jenness Lee Kocsis
All providers in South Burlington, VT · Registered Dietitian in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2015. 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.