Kelly Renea Bailey, RD, LD
Individual provider Active NPI Registered Dietitian · Mount Vernon, OH
NPI 1902085459 · NPPES record last updated Nov 1, 2007
Key facts
- NPI
- 1902085459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 6036 (OH)
- Practice address
- 1330 Coshocton Ave
Mount Vernon, OH 43050-1440 - Phone
- (740) 393-9147
- NPI assigned
- Nov 1, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6036 | OH | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 6036 | OH | Yes |
Addresses
Primary practice location
1330 Coshocton Ave
Mount Vernon, OH 43050-1440
Mailing address
1105 E Vine St
Mount Vernon, OH 43050-3658
Phone (740) 507-4858
Other names
- Kelly Renea Connell
Other providers in Mount Vernon, OH
- Robert A Atwell
- Tyler Aungst
- Autumn Health Care of Mt. Vernon
- Avalon Health & Rehab Center, LLC
- Margaret M Backiewicz
- Misty Dawn Bailey
- Sadie Jayne Bailey
- Peter Bainbridge
- Colton WB Baird
- Abby Baker
All providers in Mount Vernon, OH · Registered Dietitian in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2007. 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.