Individual
MISS KELLY ELIZABETH BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
837 SOUTHWOOD BLVD, INCLINE VILLAGE, NV 89451-7434
(908) 672-7784
Mailing address
PO BOX 6069, INCLINE VILLAGE, NV 89450-6069
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
34003DI-0
NV
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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