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

Kelly Sue Leonard, NUTRITIONIST

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1912202722

Kelly Sue Leonard, NUTRITIONIST is a Pediatric Nutrition Registered Dietitian in Raleigh, North Carolina. Licensed in Virginia. Registered with an NPI since 2011.

Licensed in
VA
In the registry since
2011

Practice location Address checks out

2801 Blue Ridge Rd
Raleigh, NC 27607-0114
Phone: (984) 974-0502
Fax: (984) 974-9579
Show map & directions

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

Specialties & licences

Pediatric Nutrition Registered Dietitian (primary) Taxonomy 133VN1004X · Licence 969608 (VA)

Record details

NPI number1912202722
Entity typeIndividual (Type 1)
GenderFemale
Credentials NUTRITIONIST
Sole proprietorNo
NPI enumeratedJanuary 26, 2011
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025

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