Kelsae Y Fitzpatrick, RD
Individual provider Active NPI Registered Dietitian · Hancock, MI
NPI 1881938686 · NPPES record last updated Jun 7, 2017
Key facts
- NPI
- 1881938686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 500 Campus Dr
Hancock, MI 49930-1569 - Phone
- (906) 483-1667
- Fax
- (906) 483-1670
- NPI assigned
- Nov 16, 2012
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
500 Campus Dr
Hancock, MI 49930-1569
Mailing address
500 Campus Dr
Hancock, MI 49930-1569
Phone (906) 483-1667
Other providers in Hancock, MI
- Jason Ray Evans
- Richard Warner Featherly
- Lynn Fecteau
- Minnan Fei
- Ronald Joseph Fisher
- Kelly R. Fletcher
- Sarah Anne Fosco
- Judy Diane Foster
- Jayne Ann Fredrick
- Freshwater Counseling Services LLC
All providers in Hancock, MI · Registered Dietitian in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2017. 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.