Individual
KELLY MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4343 LANKERSHIM BLVD # 200, NORTH HOLLYWOOD, CA 91602-2705
(818) 843-9038
(818) 843-9048
Mailing address
5767 W CENTURY BLVD SUITE 400, LOS ANGELES, CA 90095-5631
(310) 301-8707
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86114808
CA
Other
Enumeration date
12/20/2021
Last updated
01/19/2022
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