Individual
KATHERINE GRACE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
119 W 57TH ST STE 1207, NEW YORK, NY 10019-2400
(212) 333-4243
Mailing address
119 W 57TH ST STE 1207, NEW YORK, NY 10019-2400
(212) 333-4243
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86074559
NY
Other
Enumeration date
05/16/2021
Last updated
09/24/2021
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