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

Mrs. Kellie Faughander Wall, RD, CNSC, CDN

Individual provider Registered Dietitian · NPI 1053974337

Mrs. Kellie Faughander Wall, RD, CNSC, CDN is a Registered Dietitian in Syracuse, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-2306
Phone: (240) 490-1346
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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 1058216 (NY)

Record details

NPI number1053974337
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CNSC , CDN
Sole proprietorNo
NPI enumeratedApril 22, 2019
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024

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