Organization
KELLY FITMORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY ANN FORMAN RDN (CEO)
(203) 216-9932
Entity
Organization
Contact information
Practice address
15 N MAIN ST STE 100, WEST HARTFORD, CT 06107-1957
(203) 216-9932
Mailing address
41 SIMSBURY LNDG, SIMSBURY, CT 06070-1436
(203) 216-9932
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/16/2026
Last updated
07/20/2026
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