Individual
MRS. KELLI SUE YARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
19296 E ROSA RD, QUEEN CREEK, AZ 85142-6076
(480) 258-1103
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
DO NOT HAVE OTHER PROVIDERS IDENTIFIERS
—
Enumeration date
11/08/2021
Last updated
11/08/2021
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