Individual
KELSEY SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
34921 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1969
(727) 376-9757
Mailing address
34921 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1969
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT84078
TX
133V00000X
Registered Dietitian
Primary
ND7562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ND7562
DIETITIAN LICENSE
FL
Enumeration date
10/30/2015
Last updated
09/09/2020
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