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Contact Information

KELLY L DEVINE, MS, RDN, LDN
10847 W LAPORTE
MOKENA, IL60448
 Phone: 708-608-9014
 Fax: 708-377-0060
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KELLY L DEVINE · (Female)

NPI Number 1003001405
Status Active
Credentials MS, RDN, LDN
Entity Individual
Enumeration date 09/09/2007
Last updated 03/10/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 164.004722
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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