Individual
MS. KELLY ANN FORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
15 N MAIN ST STE 100, WEST HARTFORD, CT 06107-1957
(203) 216-9932
Mailing address
41 SIMSBURY LNDG, SIMSBURY, CT 06070-1436
(203) 216-9932
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
03/23/2026
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