Individual
SHEILA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,LD
Contact information
Practice address
15705 HENRIETTA DR, ACCOKEEK, MD 20607-2059
(240) 429-4969
(301) 203-9677
Mailing address
15705 HENRIETTA DR, ACCOKEEK, MD 20607-2059
(240) 429-4969
(301) 203-9677
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DI218
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046790800
—
MD
Enumeration date
02/12/2016
Last updated
02/12/2016
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