KELLY LYNNETTE NUCKOLLS

MADISON, WI
NPI1548560667
Former NameKELLY LYNETTE MASSA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WI  976210)
Enumeration Date2010-10-22
Last Update Date2010-10-25
Business Address
KELLY LYNNETTE NUCKOLLS MS RD
600 HIGHLAND AVE MC 2433
MADISON, WI 53792-1530
Phone number: 608-662-0817
Mailing Address
KELLY LYNNETTE NUCKOLLS MS RD
600 HIGHLAND AVE MC 2433
MADISON, WI 53792-1530
Phone number: 608-662-0817
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