National Provider Identifier
Jessica Marie Kondal, RDN
Jessica Marie Kondal, RDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Kenmore, NY and a listed phone number of (716) 308-0926.
Profile Overview
- NPI
- 1023693702
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- March 14, 2021
- Last Updated
- March 14, 2021
Practice Location
- 2780 Delaware Ave
- Kenmore, NY 14217-2748
Phone: (716) 308-0926
Mailing Address
- 565 Pin Oak Cir
- Grand Island, NY 14072-1378
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1023693702
- Entity Type
- Individual
- Last Name
- Kondal
- First Name
- Jessica
- Middle Name
- Marie
- Credential
- RDN
- Provider Other Last Name
- Kondal
- Provider Other First Name
- Jessica
- Provider Other Middle Name
- Marie
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- RDN
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 565 Pin Oak Cir
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072-1378
- Mailing Country
- US
- Mailing Phone
- (716) 308-0926
- Practice Street Address
- 2780 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2748
- Practice Country
- US
- Practice Phone
- (716) 308-0926
- Enumeration Date
- March 14, 2021
- Last Updated
- March 14, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 14, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)