IndividualActive
Kelsey Theisen, RD, CLEC
NPI 1649824319 · Pediatric Nutrition Registered Dietitian · San Diego, CA
Provider details
- NPI number
- 1649824319
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CLEC
- Sex
- Female
- Sole proprietor
- No
- License
- 86102837 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
3020 Childrens Way
San Diego, CA 92123-4223
Phone: (858) 576-1700
Approximate (ZIP-level) locationGet directions
Mailing address
2520 Trail Marker Pl
Chula Vista, CA 91914-4160
Registry dates
- Enumerated
- 2019-07-30
- Last updated
- 2019-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.