| NPI | 1912122730 |
|---|---|
| Other Name | KELLY ANN KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 786) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: RI LDN493) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |