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AMY LYNN KELLY RD
NPI 1811142433
Dietitian, Registered - Nutrition, Pediatric in Ellisville, MO

Active since November 24, 2008
254 CLARKSON RD, ELLISVILLE, MO 63011(636) 227-7337 Get Directions Write a Review

NPPES record last updated: November 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amy Lynn Kelly Rd NPPES

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

AMY LYNN KELLY RD (NPI 1811142433) is an individual nutrition, pediatric provider in Ellisville, Missouri, licensed in Illinois (164004678) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1811142433
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameAMY LYNN KELLYCredential: RD
Location Address254 CLARKSON RDEllisville, MO 63011-2245
Mailing Address2523 W Carriage LnPeoria, IL 61614-2404 · (636) 227-7337
Phone(636) 227-7337
Sole ProprietorNo
Enumeration DateNovember 24, 2008
✔ NPI 1811142433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License✔ Licensed in IL · 164004678
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
254 CLARKSON RD, Ellisville, MO 63011
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Other Providers at the Same Location NPPES 7

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

MRS. CONSTANCE MICHELLE CLAUDIN M. ED, PLPC
Counselor (Professional)
254 CLARKSON RD
ELLISVILLE, MO 63011
St. Louis County (314) 691-4054
LAURA K GRACE LPC
Counselor (Professional)
254 CLARKSON RD
ELLISVILLE, MO 63011
St. Louis County (314) 310-2921
VICKI M RAAB RD
Dietitian, Registered (Nutrition, Pediatric)
254 CLARKSON RD
ELLISVILLE, MO 63011
St. Louis County (636) 227-7337
PEDIATRIC EDUCATION DIETITIAN SERVICES
Home Health
254 CLARKSON RD
ELLISVILLE, MO 63011
St. Louis County (636) 227-7337
MARY-ASHLEY SEABROOK PLPC, SEP-IT
Counselor (Mental Health)
254 CLARKSON RD
ELLISVILLE, MO 63011
St. Louis County (901) 832-7800
KRISTIN L FAUST RD
Dietitian, Registered
254 CLARKSON RD
ELLISVILLE, MO 63011
St. Louis County (636) 227-7337
ROXANNE STEWARD PLPC
Counselor
254 CLARKSON RD
ELLISVILLE, MO 63011
St. Louis County (321) 274-6977

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 Amy Kelly's NPI number?

The NPI number for Amy Kelly is 1811142433. It was assigned to this individual provider in the NPPES registry on November 24, 2008.

Where is Amy Kelly located?

Amy Kelly practices at 254 Clarkson Rd, Ellisville, MO 63011. The listed phone number is (636) 227-7337.

What is Amy Kelly's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

When was this NPI record last updated?

The NPPES record for Amy Kelly was last updated on November 24, 2008. 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.