Organization
GROWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM SCHOTT RD (MANAGING DIRECTOR)
(707) 278-9641
Entity
Organization
Contact information
Practice address
9495 TENAYA WAY, KELSEYVILLE, CA 95451-9646
(707) 278-9641
Mailing address
9495 TENAYA WAY, KELSEYVILLE, CA 95451-9646
(707) 278-9641
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/16/2026
Last updated
05/16/2026
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