Individual
MRS. KELLY LYNNETTE SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., CD-N
Contact information
Practice address
130 DIVISION ST, DINING SERVICES, DERBY, CT 06418-1326
(203) 732-7585
(203) 732-7356
Mailing address
168 WHEELER RD, MONROE, CT 06468-2428
(203) 452-8407
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000708
CT
133V00000X
Registered Dietitian
911775
—
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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