IndividualActive
Kelli Patin, RD, CDE
NPI 1619425584 · Pediatric Nutrition Registered Dietitian · Walnut Creek, CA
Provider details
- NPI number
- 1619425584
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CDE
- Sex
- Female
- Sole proprietor
- No
- License
- 1000860 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
106 La Casa Via
Suite 100
Walnut Creek, CA 94598-3086
Phone: (925) 239-2900
Fax: (925) 932-2456
Approximate (ZIP-level) locationGet directions
Mailing address
106 La Casa Via
Walnut Creek, CA 94598-3086
Registry dates
- Enumerated
- 2016-09-20
- Last updated
- 2016-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.