Individual
KENDRA RAE WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4425
Mailing address
4543 UPTON AVE N, MINNEAPOLIS, MN 55412-1047
(612) 310-1542
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3062
MN
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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