Kelley Ezell in Loma Linda - Dietitian, Registered

Kelley Ezell - NPI 1770695645

Kelley Ezell is a Dietitian, Registered in Loma Linda, California. Kelley Ezell practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Kelley Ezell is 1770695645. The last update date is 2022-07-21.

Kelley Ezell's current location address is 11201 Benton St, Loma Linda, California. You can contact this provider via phone number 9098257084 and fax number 9094223108. The mailing address for Kelley Ezell is 11201 Benton St, Loma Linda, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelley Ezell
Address 11201 Benton St, Loma Linda, California
Phone Number 9098257084
Fax Number 9094223108
Sole Proprietor N
Credentials RD

NPI Number Detail

NPI Number 1770695645
Provider Enumeration Date 2006-08-31
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 11201 Benton St
City Loma Linda
State California (CA)
Post Code 923571000
Phone Number 9098257084
Fax Number 9094223108

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

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FAQs about Kelley Ezell

What is the unique identification code assigned to Kelley Ezell by the Centers for Medicare & Medicaid Services?

The Kelley Ezell has been issued the NPI (National Provider Identifier) 1770695645. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kelley Ezell's facilities are geographically located?

The facilities of Kelley Ezell are physically situated at the following location: 11201 Benton St, Loma Linda, CA, 923571000.

What is Kelley Ezell's area of expertise and its corresponding taxonomy classification?

The Kelley Ezell's field of specialization is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1770695645 to Kelley Ezell?

The Kelley Ezell received its 1770695645 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.

As of what date was the information regarding Kelley Ezell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kelley Ezell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.

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