NPI 1235149931

Stacy Kennedy, MPHRDLDN

Practitioner Registered Dietitian Brighton, MA

Practice location

Address: 1404 Commonwealth Ave #4, Brighton, MA 02135-3722
Phone: (617) 713-2835
Fax: (617) 632-4095
Mailing address: 1404 Commonwealth Ave, Brighton, MA 02135-3722

Registered specialties (3)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1287 (MA)

Other Dietitian, Registered providers in Massachusetts →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence DI1769 (ME)

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1338 (NH)

Registry record

NPI: 1235149931
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Aug 2006
Record last updated: 3 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.