IndividualActive
Kelly Houston, RDN, LD
NPI 1003209024 · Registered Dietitian · Glen Carbon, IL
Kelly Houston, RDN, LD is a Registered Dietitian provider in Glen Carbon, IL (NPI 1003209024).
Provider details
- NPI number
- 1003209024
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN, LD
- Sex
- Female
- Sole proprietor
- No
- License
- 2013038254 (MO)
Practice location
4225 S State Route 159 Ste 2
Glen Carbon, IL 62034-3231
Phone: (618) 368-5071
Fax: (618) 822-4249
Street-level locationGet directions
Mailing address
4225 S State Route 159 Ste 2
Glen Carbon, IL 62034-3231
Registry dates
- Enumerated
- 2015-03-16
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.