Provider Demographics
NPI:1457907339
Name:VECCHI, KYLEE M (MS, RD)
Entity Type:Individual
Prefix:MRS
First Name:KYLEE
Middle Name:M
Last Name:VECCHI
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:MS
Other - First Name:KYLEE
Other - Middle Name:M
Other - Last Name:SECRIST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD
Mailing Address - Street 1:500 E MARKET ST
Mailing Address - Street 2:MERCY IOWA CITY
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-2633
Mailing Address - Country:US
Mailing Address - Phone:319-359-6909
Mailing Address - Fax:
Practice Address - Street 1:500 E MARKET ST
Practice Address - Street 2:MERCY IOWA CITY
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2633
Practice Address - Country:US
Practice Address - Phone:319-359-6909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-15
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA094178133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered