Devine, Kelly L

Devine, Kelly L is an individual health care provider with primary practice located at 6811 167Th St Ste 6 , Tinley Park IL 60477-2501. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Devine, Kelly L can be contacted via phone (708) 608-9014.

Contact Information

Primary practice address
6811 167Th St Ste 6 Tinley Park IL 60477-2501
Phone: (708) 608-9014
Fax: (708) 377-0060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164.004722 Illinois

Profile Details

NPI number 1003001405
LBN Legal business name Devine, Kelly L
Credentials MS, RDN, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2007
Last updated Mar 4th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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