Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kim Hali Wolf, MS, RD, CDN

Individual provider Registered Dietitian · NPI 1801317706

Mrs. Kim Hali Wolf, MS, RD, CDN is a Registered Dietitian OR Nutrition Professional in Smithtown, New York. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2017
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

285 E Main St Ste 105
Smithtown, NY 11787-2912
Phone: (631) 509-0390
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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 008749 (NY)

Record details

NPI number1801317706
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , CDN
Sole proprietorYes
NPI enumeratedJune 29, 2017
Last updated in NPPESJune 29, 2017

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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