Individual
KELLY LYNNE PEPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1840 E BROADWAY RD, TEMPE, AZ 85282-1614
(602) 243-7277
Mailing address
832 E POWELL WAY, CHANDLER, AZ 85249-3012
(480) 296-9633
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1051673
AZ
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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