Individual
REANNA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
3204 LIVIA CIR, RALEIGH, NC 27604-4506
(919) 730-4956
Mailing address
4509 CREEDMOOR RD, RALEIGH, NC 27612-3813
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L006247
NC
Other
Enumeration date
06/03/2021
Last updated
05/29/2023
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