IndividualActive
Kelly Neilson, MDA, RD, LD
NPI 1013568807 · Registered Dietitian · Gardendale, AL
Kelly Neilson, MDA, RD, LD is a Registered Dietitian provider in Gardendale, AL (NPI 1013568807).
Provider details
- NPI number
- 1013568807
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MDA, RD, LD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2801 (AL)
Practice location
4496 Sierra Ln
Gardendale, AL 35071-4224
Phone: (801) 472-4103
Street-level locationGet directions
Mailing address
4496 Sierra Ln
Gardendale, AL 35071-4224
Registry dates
- Enumerated
- 2019-09-24
- Last updated
- 2019-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.