NPI 1215901731 · live from the CMS NPI Registry
Kelly Lynn Backen, RD
Dietitian, Registered in Rochester, MN. National Provider Identifier 1215901731, active.
NPI record
| NPI | 1215901731 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 200 1st St Sw, Rochester, MN 55905 |
| Practice phone | 507-284-2511 |
| Enumerated | February 13, 2006 |
| Last updated | February 19, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1483 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.