NPI 1447699707 · live from the CMS NPI Registry
Kellie Bailey
Dietitian, Registered in Joliet, IL. National Provider Identifier 1447699707, active.
NPI record
| NPI | 1447699707 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 333 Madison St, Joliet, IL 60435 |
| Practice phone | 815-725-7133 |
| Enumerated | June 20, 2013 |
| Last updated | June 20, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164002966 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.