Individual
KELLY B PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN RD
Contact information
Practice address
8166 MAIN STREET, HOUMA, LA 70360
(985) 873-4141
(985) 851-4307
Mailing address
PO BOX 6037, HOUMA, LA 70361-6037
(985) 873-4235
(985) 851-4307
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1786
LA
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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