Individual
KELLY GOLLADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
39475 LEWIS DR STE 110, NOVI, MI 48377-2977
(989) 277-5784
Mailing address
39475 LEWIS DR STE 110, NOVI, MI 48377-2977
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86038838
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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