NPI 1235764796

Kelly Leibovitz, MSRDN

Practitioner Registered Dietitian Farmington Hills, MI

Practice location

Address: 32961 Middlebelt Rd, Farmington Hills, MI 48334-1729
Phone: (248) 855-1540
Fax: (248) 855-2481
Mailing address: 6549 Town Center Dr STE a, Clarkston, MI 48346-4824

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 86151337 (MI)

Other Dietitian, Registered providers in Michigan →

Registry record

NPI: 1235764796
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2020
Record last updated: 11 Mar 2020

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.