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
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
207414 MEDICARE GROUP NO.

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FAQs about Kelly M. Collet

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.

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