Individual
KELLY MICHELLE KENNELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
100 BARBER PL, ERIE, PA 16507-1863
(814) 453-7661
(814) 874-5505
Mailing address
100 BARBER PL, ERIE, PA 16507-1863
(814) 453-7661
(814) 874-5505
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN002326
PA
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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