Individual
KELLI LEIGH DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,CSO,LDN
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-3047
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-3047
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1086163
NC
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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