IndividualActive
Mandy Kenyon, RD
NPI 1659744092 · Registered Dietitian · Kirtland Afb, NM
Provider details
- NPI number
- 1659744092
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1050960 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
2050 a Second St Se
Kirtland Afb, NM 87117-1916
Phone: (760) 450-3107
Approximate (ZIP-level) locationGet directions
Mailing address
2050 a Second St Se
Kirtland Afb, NM 87117-0001
Registry dates
- Enumerated
- 2015-11-06
- Last updated
- 2021-04-07
- Certified
- 2021-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.