IndividualActive
Ilze Kiselis, MSRD LDN
NPI 1982702304 · Nutritionist · Worcester, MA
Provider details
- NPI number
- 1982702304
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- MSRD LDN
- Sex
- Female
- Sole proprietor
- No
- License
- 632 (MA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
5 Neponset St
Worcester, MA 01606-2714
Phone: (508) 852-6175
Fax: (508) 595-2123
Approximate (ZIP-level) locationGet directions
Mailing address
5 Neponset St Fl Street12
Worcester, MA 01606-2714
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2018-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.