Individual
KELLY DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
99 MAIN ST, STANHOPE, NJ 07874-2627
(908) 500-5683
Mailing address
99 MAIN ST, STANHOPE, NJ 07874-2627
(908) 500-5683
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86119874
NJ
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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