Individual
MRS. KELLI RAE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
142 SHAVANO ST, CRESTED BUTTE, CO 81224-9621
(970) 349-0767
(970) 349-1251
Mailing address
142 SHAVANO ST, PO BOX 2074, CRESTED BUTTE, CO 81224-9621
(970) 349-0767
(970) 349-1251
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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