NPI 1215834072 · live from the CMS NPI Registry
Michael E Kelley
Dietitian, Registered in Cheyenne, WY. National Provider Identifier 1215834072, active.
NPI record
| NPI | 1215834072 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1255 Vermont Rd, Cheyenne, WY 82009 |
| Practice phone | 760-270-7552 |
| Enumerated | October 23, 2026 |
| Last updated | October 23, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1218 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.