Individual
KELSEY LYNN HERWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 647-3328
Mailing address
1913 HOMEWOOD AVE, MISHAWAKA, IN 46544-2637
(574) 229-9873
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86088730
IN
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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