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

Kallie Marie Siderewicz, RDN

Individual provider Registered Dietitian · NPI 1073056545

Kallie Marie Siderewicz, RDN is a Registered Dietitian in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Practice location Address checks out

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone: (520) 730-1582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86009790 (AZ)

Record details

NPI number1073056545
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedNovember 30, 2016
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021

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