Individual
KELSEY PHIPPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, LMNT
Contact information
Practice address
1745 MADISON AVE, COUNCIL BLUFFS, IA 51503-5249
(712) 322-9260
Mailing address
11 BAYBERRY CIR, COUNCIL BLUFFS, IA 51503-5401
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
075686
IA
Other
Enumeration date
11/14/2014
Last updated
10/17/2023
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