Bird, Kelsey
Bird, Kelsey is an individual health care provider with primary practice located at 1916 N 700 W Ste 250 , Layton UT 84041-5723. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bird, Kelsey can be contacted via phone (801) 479-0312.Contact Information
Primary practice address
1916 N 700 W Ste 250
Layton UT 84041-5723
Phone: (801) 479-0312
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 86049941 | Utah |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 115284934901 | Utah |
Profile Details
| NPI number | 1154829109 |
|---|---|
| LBN Legal business name | Bird, Kelsey |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2018 |
| Last updated | Mar 30th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154829109 | NPPES |
| Utah | MEDICAID | 1154829109 |
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