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Organization

4 CANCER NUTRITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY NELSON MS RD CSO LD (OWNER/DIETITIAN)
(937) 269-5397
Entity
Organization

Contact information

Practice address
1407 STATE ROUTE 89, ASHLAND, OH 44805-9763
(937) 269-5397
Mailing address
1407 STATE ROUTE 89, ASHLAND, OH 44805-9763
(937) 269-5397

Taxonomy

Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
Primary

Other

Enumeration date
12/08/2025
Last updated
12/08/2025
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