IndividualActive
Kelly Fugok, RD
NPI 1851643100 · Pediatric Nutrition Registered Dietitian · Danville, PA
Provider details
- NPI number
- 1851643100
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- DN002918 (PA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
100 N Academy Ave # Mc15-09
Danville, PA 17822-0001
Phone: (570) 214-3223
Fax: (570) 271-7805
Approximate (ZIP-level) locationGet directions
Mailing address
Geisinger Medical Ctr
Danville, PA 17822-0001
Registry dates
- Enumerated
- 2012-10-11
- Last updated
- 2025-05-28
- Certified
- 2025-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.