Active NPI
Fit and Well With Kel
- Registered Dietitian
- Kansas City, MO
National Provider Identifier
1689531725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- FIT AND WELL WITH KEL
- Practice address
- 12380 Summit St
Kansas City, MO 64145-1174 - Phone
- (913) 515-9554
- NPI assigned
- Jan 9, 2026
- Organization subpart
- Yes
- Parent organization
- FIT AND WELL WITH KEL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Lauren Bukovac, RDN
- Title
- Owner/Lead Dietitian
- Phone
- (913) 515-9554
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
12380 Summit St
Kansas City, MO 64145-1174
Mailing address
12380 Summit St
Kansas City, MO 64145-1174
Phone (913) 515-9554
National Provider Directory
National Provider Directory- Part of
- Fit and Well With Kel
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767916800000",
"number": "1689531725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12380 SUMMIT ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641451174",
"telephone_number": "913-515-9554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12380 SUMMIT ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641451174",
"telephone_number": "913-515-9554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIT AND WELL WITH KEL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FIT AND WELL WITH KEL",
"enumeration_date": "2026-01-09",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A",
"authorized_official_last_name": "BUKOVAC",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "LAUREN",
"authorized_official_title_or_position": "OWNER/LEAD DIETITIAN",
"authorized_official_telephone_number": "913-515-9554",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.