National Provider Identifier

Kelly Marie Dieffenbaugher, RD

Kelly Marie Dieffenbaugher, RD is listed in the NPPES registry with a primary specialty of Registered Dietitian in Corning, NY and a listed phone number of (607) 937-7200.

NPI 1750041141Corning, NYRegistered Dietitian

Profile Overview

NPI
1750041141
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
December 27, 2021
Last Updated
December 27, 2021

Practice Location

  • 1 Guthrie Dr
  • Corning, NY 14830-3696

Phone: (607) 937-7200

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1750041141
Entity Type
Individual
Last Name
Dieffenbaugher
First Name
Kelly
Middle Name
Marie
Credential
RD
Mailing Street Address
1 Guthrie Dr
Mailing City
Corning
Mailing State
NY
Mailing ZIP Code
14830-3696
Mailing Country
US
Mailing Phone
(607) 937-7200
Practice Street Address
1 Guthrie Dr
Practice City
Corning
Practice State
NY
Practice ZIP Code
14830-3696
Practice Country
US
Practice Phone
(607) 937-7200
Enumeration Date
December 27, 2021
Last Updated
December 27, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
December 27, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)