Individual
KELLY ANN GOMBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
656 DELAWARE AVE, PALMERTON, PA 18071-2003
(484) 707-4231
Mailing address
365 FLORA CIR, LEHIGHTON, PA 18235-5318
(484) 707-4231
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001039
PA
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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