Individual
KELLY L NORDBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
512 BRICKHAVEN DR, RALEIGH, NC 27606-1492
(919) 707-5397
Mailing address
512 BRICKHAVEN DR, RALEIGH, NC 27606-1492
(919) 707-5397
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004067
NC
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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