Individual
KELLY HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
4225 S STATE ROUTE 159 STE 2, GLEN CARBON, IL 62034-3231
(618) 368-5071
(618) 822-4249
Mailing address
4225 S STATE ROUTE 159 STE 2, GLEN CARBON, IL 62034-3231
(618) 368-5071
(618) 822-4249
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2013038254
MO
Other
Enumeration date
03/16/2015
Last updated
08/06/2025
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