Individual
KELLY ANNE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
(803) 774-8674
(803) 774-8985
Mailing address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
(803) 774-8674
(803) 774-8985
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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