Individual
KELLY ANNE BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
376 INDIAN RUN RD, GLENMOORE, PA 19343-1336
(609) 802-4401
Mailing address
376 INDIAN RUN RD, GLENMOORE, PA 19343-1336
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN009317
PA
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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