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

Kelly Lynnette Nuckolls, MSRD

Individual provider Registered Dietitian · NPI 1548560667

Kelly Lynnette Nuckolls, MSRD is a Registered Dietitian in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2010

Practice location Address checks out

600 Highland Ave Mc 2433
Madison, WI 53792-1530
Phone: (608) 662-0817
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 976210 (WI)

Record details

NPI number1548560667
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSRD
Sole proprietorYes
NPI enumeratedOctober 22, 2010
Last updated in NPPESOctober 25, 2010

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