Individual
KYLE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
112 E OLIVE AVE STE E, REDLANDS, CA 92373-5281
(909) 600-2113
Mailing address
7155 CITRUS AVE UNIT 115, FONTANA, CA 92336-6001
(909) 900-9655
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86303323
CA
Other
Enumeration date
10/10/2022
Last updated
04/30/2025
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