Individual
KELSEY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
2050 KENNY RD, SUITE 2500, COLUMBUS, OH 43221-3502
(614) 366-1784
Mailing address
2050 KENNY RD, SUITE 2500, COLUMBUS, OH 43221-3502
(614) 366-1784
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
7772
OH
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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