Individual
KELLEY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
2500 GRANT RD, LPCH-4C, MOUNTAIN VIEW, CA 94040-4302
(650) 988-4111
Mailing address
2500 GRANT RD, LPCH-4C, MOUNTAIN VIEW, CA 94040-4302
(650) 988-4111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1045164
—
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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