Individual
MRS. MARJORIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
231 W LOCKWOOD AVE, SUITE 202, WEBSTER GROVES, MO 63119-2951
(314) 737-4070
(314) 737-4071
Mailing address
231 W LOCKWOOD AVE, SUITE 202, WEBSTER GROVES, MO 63119-2951
(314) 737-4070
(314) 737-4071
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2007008838
MO
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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