Individual
KELLY LYNN TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
4024 STIRRUP CREEK DR, DURHAM, NC 27703-9464
(919) 908-9730
Mailing address
PO BOX 13289, DURHAM, NC 27709-3289
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L006470
NC
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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