Individual
KELLY BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, RD, LDN
Contact information
Practice address
894 HARDINGVILLE RD, MONROEVILLE, NJ 08343-2714
(609) 352-6266
(888) 266-9161
Mailing address
894 HARDINGVILLE RD, MONROEVILLE, NJ 08343-2714
(609) 352-6266
(888) 266-9161
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DN004174
PA
133V00000X
Registered Dietitian
Primary
—
NJ
Other
Enumeration date
08/28/2009
Last updated
08/25/2013
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