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Individual

KELLI AMANDA DUNAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN, LD

Contact information

Practice address
730 HIGHLAND OAKS DR, WINSTON SALEM, NC 27103-7154
(336) 646-7323
Mailing address
PO BOX 604050, CHARLOTTE, NC 28260-4050

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L007008
NC
133V00000X
Registered Dietitian
LDN0000003336
TN

Other

Enumeration date
06/29/2022
Last updated
03/23/2023
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