Individual
AUTUMN ROSE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3 S 4TH AVE, FOOD AND NUTRITION SERVICES, MARSHALLTOWN, IA 50158-2924
(641) 754-5271
Mailing address
23767 667TH AVE, NEVADA, IA 50201-7616
(319) 480-5574
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002148
IA
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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