Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kelly McKinnon

Individual provider Registered Dietitian · NPI 1619722600

Kelly McKinnon is registered under Registered Dietitian OR Nutrition Professional in Canal Winchester, Ohio. Qualified in 2018, 8 years ago. Practices with Nourish, Inc, a 277-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2024
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Practice location Address checks out

3310 Lakeview Trl
Canal Winchester, OH 43110-8030
Phone: (419) 350-8401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1619722600
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 22, 2024
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024

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

Colleagues at Nourish, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 277 clinicians in the practice; 12 are shown here.

Other providers in Canal Winchester