Individual
KATE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7585
(203) 732-7356
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7585
(203) 732-7356
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86030551
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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