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Contact Information

KELLY S LEONARD, NUTRITIONIST
2801 BLUE RIDGE RD
RALEIGH, NC27607-0114
 Phone: 984-974-0502
 Fax: 984-974-9579
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KELLY S LEONARD · (Female)

NPI Number 1912202722
Status Active
Credentials NUTRITIONIST
Entity Individual
Enumeration date 01/26/2011
Last updated 04/04/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • VA License # 969608
  • VA Medicaid 004909976
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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