Kelly Falter, MCD, RD, LD, CNSC

Individual provider Active NPI Registered Dietitian · Columbus, IN

NPI 1770163008 · NPPES record last updated Apr 12, 2021

Key facts

NPI
1770163008
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
37003063A (IN)
Practice address
2400 17TH St
Columbus, IN 47201-5351
Phone
(800) 841-4938
NPI assigned
Apr 12, 2021
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

LicenseStateTypeSpecialty
37003063AINMDRegistered Dietitian
LD.7412OHMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 37003063A IN Yes
Registered Dietitian 133V00000X LD.7412 OH

Addresses

Primary practice location

2400 17TH St
Columbus, IN 47201-5351

Mailing address

2400 17TH St
Columbus, IN 47201-5351

Other providers in Columbus, IN

All providers in Columbus, IN · Registered Dietitian in Indiana

Sources for this page

Verify at the official NPI Registry.