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

Individual provider Registered Dietitian · NPI 1619565678

Kylee Jane Fetzner, RDN is a Registered Dietitian in Bloomington, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
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

2909 Spangle Rd
Bloomington, IL 61705-5985
Phone: (815) 236-8033
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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 86167846 (IL)

Record details

NPI number1619565678
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorYes
NPI enumeratedJanuary 5, 2021
Last updated in NPPESJanuary 5, 2021
Certification dateJanuary 5, 2021
Mailing address2909 Spangle Rd, Bloomington, IL 61705-5985

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