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Individual

KELLY S ARBUCKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
100 BRISTOL CT, WEST LAFAYETTE, IN 47906-1601
(815) 823-7083

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002899A
IN

Other

Enumeration date
05/14/2020
Last updated
04/26/2021
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