Individual
MELISSA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
51 NEWARK ST, SUITE 404A, HOBOKEN, NJ 07030-4548
(646) 303-5567
Mailing address
50 FERNDALE AVE, GLEN ROCK, NJ 07452-2704
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
930037
NY
Other
Enumeration date
02/10/2010
Last updated
10/11/2013
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