Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
KJ NUTRITION
Active
Organization
KJ NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI JO GROVER MDA, RDN (OWNER/DIETITIAN)
(719) 290-0002
Entity
Organization
Contact information
Practice address
14629 W OBERLIN WAY, SURPRISE, AZ 85387-6747
(719) 290-0002
Mailing address
14629 W OBERLIN WAY, SURPRISE, AZ 85387-6747
(719) 290-0002
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up