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

Kelley Kay Kull

Individual provider Registered Dietitian · NPI 1508385873

Kelley Kay Kull is a Registered Dietitian in Grass Valley, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

12178 Boreham Mine Rd
Grass Valley, CA 95945-9322
Phone: (530) 386-4098
Show map & directions

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

Additional practice locations (1)

  • 155 Glasson Way, Grass Valley, CA 95945-5723 — (530) 274-6676

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 727521 (CA)

Record details

NPI number1508385873
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 18, 2017
Last updated in NPPESJuly 21, 2022

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