Provider Demographics
NPI:1417755711
Name:KELSAY, LINDSEY KATHARINE (RD, CSG, LD)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:KATHARINE
Last Name:KELSAY
Suffix:
Gender:
Credentials:RD, CSG, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1529 N JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65803-2816
Mailing Address - Country:US
Mailing Address - Phone:417-818-8252
Mailing Address - Fax:
Practice Address - Street 1:1529 N JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65803-2816
Practice Address - Country:US
Practice Address - Phone:417-818-8252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011027928133VN1101X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1101XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Gerontological