Kaelyn Minor, RD is a
Dietitian, Registered based in Imperial, California. Kaelyn Minor is licensed to practice in * (Not Available) (license number ) and her current practice location is
435 W Aten Rd, Imperial, California. She can be reached at her office (for appointments etc.) via phone at
(760) 879-8590.
NPI number for Kaelyn Minor is 1619812203 and her current mailing address is 435 W Aten Rd, Imperial, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619812203.
Healthcare Provider's Profile
| Full Name | Kaelyn Minor |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 435 W Aten Rd, Imperial, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619812203
- Provider Enumeration Date: 04/21/2026
- Last Update Date: 04/21/2026
Medical Identifiers
Medical identifiers for Kaelyn Minor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619812203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaelyn Minor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kaelyn Minor, RD
435 W Aten Rd,
Imperial, CA 92251-9818
Ph: (760) 879-8590 | Kaelyn Minor, RD
435 W Aten Rd,
Imperial, CA 92251-9818
Ph: (760) 879-8590 |
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