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Contact Information

KELLY N DERWICK, RDN, LN
119 SE 39TH ST
CAPE CORAL, FL33904
 Phone: 239-910-3871
 Fax:
 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 N DERWICK · (Female)

NPI # 1033715727
Status Active
Credentials RDN, LN
Entity Individual
Enumeration date 12/08/2020
Last updated 05/04/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • FL License # 10167
  • FL Other 10167 FLORIDA DEPARTMENT OF HEALTH
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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