NPI 1477490480 · live from the CMS NPI Registry
Adie Kenny Nutrition PLLC
Dietitian, Registered in Palos Park, IL. National Provider Identifier 1477490480, active.
NPI record
| NPI | 1477490480 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 10641 Palos West Dr, Palos Park, IL 60464 |
| Practice phone | 708-406-9713 |
| Mailing address | 980 N Michigan Ave Ste 1090, Chicago, IL 60611 |
| Enumerated | April 29, 2026 |
| Last updated | June 9, 2026 |
| Authorized official | Adrianne Kenny, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.