Individual
KELLY POVROZNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1 AMALIA DR, BUCKHANNON, WV 26201-2200
(304) 473-2197
Mailing address
1 AMALIA DR, BUCKHANNON, WV 26201-2200
(304) 473-2197
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1050
WV
Other
Enumeration date
12/20/2019
Last updated
04/06/2022
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