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MANDY KENYON RD
NPI 1659744092
Dietitian, Registered in Kirtland Afb, NM

Active since November 06, 2015
2050 A SECOND ST SE, KIRTLAND AFB, NM 87117(760) 450-3107 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mandy Kenyon Rd NPPES

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

MANDY KENYON RD (NPI 1659744092) is an individual dietitian, registered in Kirtland Afb, New Mexico, licensed in California (1050960) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1659744092
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMANDY KENYONCredential: RD
Location Address2050 A SECOND ST SEKirtland Afb, NM 87117-1916
Mailing Address2050 A Second St SeKirtland Afb, NM 87117-0001 · (760) 450-3107
Phone(760) 450-3107
Sole ProprietorYes
Enumeration DateNovember 6, 2015
Last NPPES UpdateApril 7, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1659744092 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 CA · 1050960
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.
2050 A SECOND ST SE, Kirtland Afb, NM 87117
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHALIENA K. GRAY RDH
Dental Hygienist
2050 A SECOND ST SE, KIRTLAND AIRFORCE BASE
ALBUQUERQUE, NM 87117
Bernalillo County (505) 846-3064
DR. JAMES S. ICE D.O
Preventive Medicine (Public Health & General Preventive Medicine)
2050 A SECOND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3547
MORGAN L SAUCEDO MS, RD/LD
Dietitian, Registered
2050 A SECOND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-1186

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 Mandy Kenyon's NPI number?

The NPI number for Mandy Kenyon is 1659744092. It was assigned to this individual provider in the NPPES registry on November 6, 2015.

Where is Mandy Kenyon located?

Mandy Kenyon practices at 2050 A Second St SE, Kirtland Afb, NM 87117. The listed phone number is (760) 450-3107.

What is Mandy Kenyon's specialty?

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

When was this NPI record last updated?

The NPPES record for Mandy Kenyon was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.