Individual
MS. KELCIE ELIZABETH WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 838-4800
Mailing address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 838-4800
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002826A
IN
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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