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

Individual provider Registered Dietitian · NPI 1700055100

Kelley Blasa, RD, LDN is a Registered Dietitian in Hannibal, Missouri. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

11197 W Lakeshore Dr
Hannibal, MO 63401-7386
Phone: (573) 221-1354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X (IL)

Record details

NPI number1700055100
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LDN
Sole proprietorNo
NPI enumeratedFebruary 29, 2008
Last updated in NPPESFebruary 29, 2008

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