Minarick, Kelly Wynne

Minarick, Kelly Wynne is an sole proprietor health care provider with primary practice located at 650 Warrenville Rd Ste 100 , Lisle IL 60532-4315. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Minarick, Kelly Wynne can be contacted via phone (847) 318-3013.

Contact Information

Primary practice address
650 Warrenville Rd Ste 100 Lisle IL 60532-4315
Fax: (833) 290-5413
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164.007272 Illinois

Profile Details

NPI number 1073251724
LBN Legal business name Minarick, Kelly Wynne
Credentials RD, RDN, LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2022
Last updated Mar 21st, 2024 - about last year

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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