Individual
MICHELLE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
1099 OAK ST, INDIANA, PA 15701-1651
(866) 942-2778
Mailing address
1099 OAK ST, INDIANA, PA 15701-1651
(866) 942-2778
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
7728
OH
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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