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

Kenyatta Shelton

Individual provider Registered Dietetic Technician · NPI 1376231696

Kenyatta Shelton is a Registered Dietetic Technician in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

5135 W Washington Blvd
Chicago, IL 60644-3441
Phone: (773) 642-7314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X · Licence 131014391 (IL)
Registered Dietetic Technician Taxonomy 136A00000X · Licence 131014391 (IL)

Record details

NPI number1376231696
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 25, 2023
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023

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