Individual
KELSEY MARIE BRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4255 MEDWELL DRIVE, NEWBURGH, IN 47630-0010
(812) 853-2993
Mailing address
22 QUAIL CROSSING DR, BOONVILLE, IN 47601-8466
(812) 550-6941
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37003279A
IN
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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