Individual
KELLEY MICHELLE ENCINAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1011 N 8TH ST, SHEBOYGAN, WI 53081-4006
(920) 459-6411
Mailing address
7126 TAMARACK CT, MEQUON, WI 53092-8517
(818) 825-3191
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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