Individual
KELLY MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX4843
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1068218
COMMISSION FOR DIETETIC REGISTRATION
—
Enumeration date
03/01/2021
Last updated
12/06/2022
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