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

Kelly Myers, RDN, CDN

Individual provider Registered Dietitian · NPI 1558091264

Kelly Myers, RDN, CDN is a Registered Dietitian OR Nutrition Professional in Williamsville, New York. Qualified in 2021, 5 years ago. Practices with Custom Dietetics PC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
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

2829 Wehrle Dr Ste 7B
Williamsville, NY 14221-7387
Phone: (716) 626-7415
Fax: (716) 632-0389
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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 010976 (NY)

Record details

NPI number1558091264
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , CDN
Sole proprietorNo
NPI enumeratedJune 15, 2022
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Custom Dietetics Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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