Organization
KJ NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI JO GROVER MDA, RDN (OWNER/DIETITIAN)
(719) 290-0002
Entity
Organization
Contact information
Practice address
14629 W OBERLIN WAY, SURPRISE, AZ 85387-6747
(719) 290-0002
Mailing address
14629 W OBERLIN WAY, SURPRISE, AZ 85387-6747
(719) 290-0002
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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