Individual
KELLI ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
(812) 485-4098
Mailing address
7504 MIDWAY DR, EVANSVILLE, IN 47711-6300
(812) 631-2784
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002149A
IN
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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