IndividualActive
Jacquelyn Kemnic, RDN, LD
NPI 1073022406 · Registered Dietitian · Willard, MO
Provider details
- NPI number
- 1073022406
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN, LD
- Sex
- Female
- Sole proprietor
- No
- License
- 2017030950 (MO)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Heart Center
1500 N Oakland Ave
Willard, MO 65613
Phone: (417) 328-6462
Approximate (ZIP-level) locationGet directions
Mailing address
1500 N Oakland Ave
Bolivar, MO 65613-3011
Registry dates
- Enumerated
- 2017-09-28
- Last updated
- 2017-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.