Individual
KELLY OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.D.N
Contact information
Practice address
260 WASHINGTON AVENUE EXT, 101, ALBANY, NY 12203-6326
(518) 218-1188
Mailing address
11 E GLENWOOD DR, LATHAM, NY 12110-3321
(518) 421-9852
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008642
NY
Other
Enumeration date
10/08/2016
Last updated
10/08/2016
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