Individual
KELLY JEAN CRUSENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
719 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5016
(865) 453-1032
Mailing address
719 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5016
(865) 453-1032
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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