KELLY WYCKOFF MS, RD, LDN, CNSD
NPI 1306080254
Dietitian, Registered in Chicago, IL

Q: What is Kelly Wyckoff's NPI number?

The NPI number for Kelly Wyckoff is 1306080254. It was assigned to this individual provider in the NPPES registry on April 22, 2009.

Q: What is Kelly Wyckoff's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Wyckoff was last updated on April 22, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 22, 2009

1700 W VAN BUREN ST, SUITE 425 TOB, CHICAGO, IL 60612(312) 942-5926(312) 942-5203 Get Directions Write a Review

NPPES record last updated: April 22, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kelly Wyckoff Ms, Rd, Ldn, Cnsd NPPES

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

KELLY WYCKOFF MS, RD, LDN, CNSD (NPI 1306080254) is an individual dietitian, registered in Chicago, Illinois, licensed in Illinois (164004402) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1306080254

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameKELLY WYCKOFFCredential: MS, RD, LDN, CNSD

Location Address1700 W VAN BUREN ST, SUITE 425 TOBChicago, IL 60612-5500

Mailing Address1700 W Van Buren St, Suite 425 TobChicago, IL 60612-5500 · (312) 942-5926 · Fax (312) 942-5203

Phone(312) 942-5926

Fax(312) 942-5203

Sole ProprietorNo

Enumeration DateApril 22, 2009

✔ NPI 1306080254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in IL · 164004402

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1700 W VAN BUREN ST, Chicago, IL 60612

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