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

Kelly Blackburn, RDN

Individual provider Registered Dietitian · NPI 1013543172

Kelly Blackburn, RDN is a Registered Dietitian OR Nutrition Professional in Lexington, Kentucky. Qualified in 2018, 8 years ago. Practices with Nourish, Inc, a 277-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
8
Licensed in
KY
In the registry since
2020
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

711 Hambrick Ave
Lexington, KY 40508-2307
Phone: (818) 641-4892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X (KY)

Record details

NPI number1013543172
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorYes
NPI enumeratedMarch 19, 2020
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Nourish, Inc. — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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