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

Mrs. Sandra Rae Kelly, RD, LD

Individual provider Registered Dietitian · NPI 1417175225

Mrs. Sandra Rae Kelly, RD, LD is a Registered Dietitian in Bloomington, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

10006 Maple Cir
Bloomington, MN 55431-2870
Phone: (952) 884-5489
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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 2086 (MN)

Record details

NPI number1417175225
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorYes
NPI enumeratedApril 24, 2007
Last updated in NPPESJuly 8, 2007

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