Organization
KELLY'S CHOICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ELIZABETH SPRINGER RD (OWNER)
(315) 730-4459
Entity
Organization
Contact information
Practice address
7 ONONDAGA ST, SKANEATELES, NY 13152-1313
(315) 730-4459
(315) 685-2150
Mailing address
7 ONONDAGA ST, SKANEATELES, NY 13152-1313
(315) 730-4459
(315) 685-2150
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275969040
NPI
—
Enumeration date
05/18/2020
Last updated
05/18/2020
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