Individual
KELLY SUSAN CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
449 W D ST STE B, LEMOORE, CA 93245-2623
(559) 358-4828
Mailing address
440 N BARRANCA AVE # 8668, COVINA, CA 91723-1722
(559) 358-4828
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86175798
CA
Other
Enumeration date
11/01/2021
Last updated
02/02/2026
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