Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elliot Kephart

Individual provider Registered Dietitian · NPI 1720817315

Elliot Kephart is a Registered Dietitian in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024

Practice location Address checks out

165 Cambridge St Ste 402
Boston, MA 02114-2750
Phone: (617) 726-2779
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LDN7625 (MA)

Record details

NPI number1720817315
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2024
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024
Mailing address165 Cambridge St Ste 402, Boston, MA 02114-2750

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