Provider Demographics
NPI:1669335022
Name:CURRENT, KELLY (RD, LD)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:
Last Name:CURRENT
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 TOMA HAWK DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75402-2802
Mailing Address - Country:US
Mailing Address - Phone:936-355-5334
Mailing Address - Fax:
Practice Address - Street 1:117 TOMA HAWK DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-2802
Practice Address - Country:US
Practice Address - Phone:936-355-5334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT83856133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty