Individual
KELLY WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1315 6TH ST NW, ROCHESTER, MN 55901-1822
(507) 288-8233
Mailing address
1315 6TH ST NW, ROCHESTER, MN 55901-1822
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3072
MN
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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