Organization
KELLIE CHEVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KELLIE SUMMER CHEVES RD (REGISTERED DIETITIAN)
(925) 209-3510
Entity
Organization
Contact information
Practice address
2542 S BASCOM AVE STE 100, CAMPBELL, CA 95008-5541
(669) 877-2527
Mailing address
2542 S BASCOM AVE STE 100, CAMPBELL, CA 95008-5541
(669) 877-2527
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
04/12/2021
Last updated
07/23/2026
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