Individual
KELLY S BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
272 BENEDICT AVENUE, NORWALK, OH 44857
(419) 668-8101
Mailing address
272 BENEDICT AVENUE, NORWALK, OH 44857
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.3098
OH
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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