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

Shannon Kelly

Individual provider Registered Dietitian · NPI 1508712381

Shannon Kelly is a Registered Dietitian in Venice, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1110 Lake St Apt 2
Venice, CA 90291-3116
Phone: (630) 702-9703
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1508712381
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMarch 5, 2026
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address1110 Lake St Apt 2, Venice, CA 90291-3116

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