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

Kelly Lynn Fugok, RD

Individual provider Registered Dietitian · NPI 1851643100

Kelly Lynn Fugok, RD is a Registered Dietitian OR Nutrition Professional in Danville, Pennsylvania. Qualified in 1991, 35 years ago. Accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
35
Licensed in
PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

100 N Academy Ave # MC15-09
Danville, PA 17822-0001
Phone: (570) 214-3223
Fax: (570) 271-7805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nutrition Registered Dietitian (primary) Taxonomy 133VN1004X · Licence DN002918 (PA)
Registered Dietitian Taxonomy 133V00000X · Licence DN002918 (PA)

Record details

NPI number1851643100
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedOctober 11, 2012
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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