MRS. KELLY LYNN SCANLON C.N (INTERN STUDENT)
NPI 1104067073
Nutritionist in Holly, MI

Q: What is Kelly Scanlon's NPI number?

The NPI number for Kelly Scanlon is 1104067073. It was assigned to this individual provider in the NPPES registry on March 23, 2009.

Q: What is Kelly Scanlon's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Scanlon was last updated on March 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 23, 2009

1344 BEAVERBROOK DR, HOLLY, MI 48442(248) 634-3014 Get Directions Write a Review

NPPES record last updated: March 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Kelly Lynn Scanlon C.n (intern Student) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY LYNN SCANLON C.N (INTERN STUDENT) (NPI 1104067073) is an individual nutritionist in Holly, Michigan and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1104067073

Entity TypeIndividualFemale

Primary Taxonomy133N00000X

Provider Legal NameMRS. KELLY LYNN SCANLONCredential: C.N (INTERN STUDENT)

Location Address1344 BEAVERBROOK DRHolly, MI 48442-8628

Mailing Address1344 Beaverbrook DrHolly, MI 48442-8628 · (248) 634-3014

Phone(248) 634-3014

Sole ProprietorYes

Enumeration DateMarch 23, 2009

✔ NPI 1104067073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers

Taxonomy Code133N00000X

Definition

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

1344 BEAVERBROOK DR, Holly, MI 48442

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Scanlon's NPI number?

The NPI number for Kelly Scanlon is 1104067073. It was assigned to this individual provider in the NPPES registry on March 23, 2009.

Where is Kelly Scanlon located?

Kelly Scanlon practices at 1344 Beaverbrook Dr, Holly, MI 48442. The listed phone number is (248) 634-3014.

What is Kelly Scanlon's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

When was this NPI record last updated?

The NPPES record for Kelly Scanlon was last updated on March 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.