Individual
KELLY VASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 BERTONLEY AVE, CHARLOTTE, NC 28211-1504
(704) 365-9712
Mailing address
530 BERTONLEY AVE, CHARLOTTE, NC 28211-1504
(704) 365-9712
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L000087
NC
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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