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Organization
GRACE KELLEY NUTRITION LLC
Active
Organization
GRACE KELLEY NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE A KELLEY RDN, LD (SPORTS DIETITIAN)
(440) 986-0360
Entity
Organization
Contact information
Practice address
3838 N RAVENSWOOD AVE # 308, CHICAGO, IL 60613-5651
(440) 986-0360
Mailing address
2909 N SHERIDAN RD APT 1806, CHICAGO, IL 60657-5946
(440) 986-0360
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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