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

Kelly Lauren Bukovac, RD

Individual provider Registered Dietitian · NPI 1528828597

Kelly Lauren Bukovac, RD is a Registered Dietitian in Kansas City, Missouri. Licensed in Kansas. Registered with an NPI since 2024.

Licensed in
KS
In the registry since
2024
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

12380 Summit St
Kansas City, MO 64145-1174
Phone: (913) 515-9554
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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 3055 (KS)

Record details

NPI number1528828597
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

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