IndividualActive
Amy Kelly, RD
NPI 1811142433 · Pediatric Nutrition Registered Dietitian · Ellisville, MO
Provider details
- NPI number
- 1811142433
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 164004678 (IL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
254 Clarkson Rd
Ellisville, MO 63011-2245
Phone: (636) 227-7337
Approximate (ZIP-level) locationGet directions
Mailing address
2523 W Carriage Ln
Peoria, IL 61614-2404
Registry dates
- Enumerated
- 2008-11-24
- Last updated
- 2008-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.