Individual
KELSEY KNOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., LDN
Contact information
Practice address
4125 N SHERIDAN RD STE 20, PEORIA, IL 61614-7174
(309) 686-5920
Mailing address
4125 N SHERIDAN RD STE 20, PEORIA, IL 61614-7174
(309) 686-5920
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006117
IL
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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