Devine, Kelly L
Devine, Kelly L is an individual health care provider with primary practice located at 6811 167Th St Ste 6 , Tinley Park IL 60477-2501. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Devine, Kelly L can be contacted via phone (708) 608-9014.Contact Information
Primary practice address
6811 167Th St Ste 6
Tinley Park IL 60477-2501
Phone: (708) 608-9014
Fax: (708) 377-0060
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 164.004722 | Illinois |
Profile Details
NPI number | 1003001405 |
---|---|
LBN Legal business name | Devine, Kelly L |
Credentials | MS, RDN, LDN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 9th, 2007 |
Last updated | Mar 4th, 2024 - about 6 months 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.
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