Individual
MS. KELLI JO JENSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 229-4916
Mailing address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 229-4916
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4010
MN
133V00000X
Registered Dietitian
86024081
MN
Other
Enumeration date
06/06/2018
Last updated
12/22/2020
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