Individual
KELLIE JO CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LDN CNSC
Contact information
Practice address
1211 21ST AVE S 607 MEDICAL ARTS BUILDING, NASHVILLE, TN 37232-1320
(615) 936-3952
Mailing address
1211 21ST AVE S 607 MEDICAL ARTS BUILDING, NASHVILLE, TN 37232-1320
(615) 936-3952
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000001694
TN
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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