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

Mrs. Laura Jean Kelly, RD, CSO, CDN

Individual provider Nutritionist · NPI 1013203702

Mrs. Laura Jean Kelly, RD, CSO, CDN is a Nutritionist in Commack, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

650 Commack Rd
Commack, NY 11725-5404
Phone: (631) 623-4000
Fax: (631) 864-2787
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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 956635 (NY)
Nutritionist Taxonomy 133N00000X · Licence 7184206 (NY)

Record details

NPI number1013203702
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CSO , CDN
Sole proprietorNo
NPI enumeratedJune 22, 2011
Last updated in NPPESJune 22, 2011

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