Individual
MS. KELLY IRENE NIBLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6201 N SUNCOAST BLVD, CRYSTAL RIVER, FL 34428-6712
(352) 795-6560
Mailing address
3138 N BOSWELL TER, HERNANDO, FL 34442-4732
(352) 746-3862
(352) 795-8409
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4304
FL
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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