Individual
MISS KELLIE MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD, CDN
Contact information
Practice address
475 WHITE PLAINS RD, SUITE 27, EASTCHESTER, NY 10709-5537
(914) 793-3900
(914) 793-3922
Mailing address
475 WHITE PLAINS RD, SUITE 27, EASTCHESTER, NY 10709-5537
(914) 793-3900
(914) 793-3922
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007324
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007324
LICENSE
NY
Enumeration date
07/06/2009
Last updated
12/05/2014
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