Individual
KELLY ST JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSO, LDN
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2497
(215) 870-9315
Mailing address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2497
(215) 870-9315
Taxonomy
Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
DN006824
PA
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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