Kelly M. Collet in Peoria - Dietitian, Registered
Kelly M. Collet - NPI 1841216132
Kelly M. Collet is a Dietitian, Registered in Peoria, Illinois. Kelly M. Collet practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Kelly M. Collet is 1841216132. The last update date is 2007-07-08.
Kelly M. Collet's current location address is 530 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096554048 and fax number 3096554022. The mailing address for Kelly M. Collet is 530 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly M. Collet |
|---|---|
| Address | 530 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096554048 |
| Fax Number | 3096554022 |
| Sole Proprietor | N |
| Credentials | R.D. |
NPI Number Detail
| NPI Number | 1841216132 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 530 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616370001 |
| Phone Number | 3096554048 |
| Fax Number | 3096554022 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 207414 | MEDICARE GROUP NO. |
Post Comment/ Review Below
What is the unique identifier code issued to Kelly M. Collet by the Centers for Medicare & Medicaid Services?
The Kelly M. Collet has been assigned the NPI (National Provider Identifier) 1841216132. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kelly M. Collet's facilities are geographically located?
The facilities of Kelly M. Collet are physically situated at the following location: 530 Ne Glen Oak Ave, Peoria, IL, 616370001.
What is Kelly M. Collet's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelly M. Collet is Dietitian, Registered, and the taxonomy code that categorizes this field of expertise is 133V00000X.
On what date did the Kelly M. Collet receive its 1841216132 assignment from the Centers for Medicare & Medicaid Services?
The Kelly M. Collet was assigned its 1841216132 by the Centers for Medicare & Medicaid Services on 2006-07-14.
As of what date was the information regarding Kelly M. Collet, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly M. Collet, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.